MEDICARE: DR. JASON KEITH CHAPMAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DEN.00202439	CO

General Provider Information

NPI Number	:	1811159023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON KEITH CHAPMAN D.D.S.

Provider Business Mailing Address
First Line	:	4624 E 23RD AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-3139
Country	:	US
Telephone Number	:	303-377-8662
Fax Number	:

Provider Business Practice Location Address
First Line	:	4624 E 23RD AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-3139
Country	:	US
Telephone Number	:	303-377-8662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2008
Last Update Date	:	06/10/2026

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