Healthcare Provider Details

I. General information

NPI: 1811159023
Provider Name (Legal Business Name): JASON KEITH CHAPMAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2008
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4624 E 23RD AVE
DENVER CO
80207-3139
US

IV. Provider business mailing address

4624 E 23RD AVE
DENVER CO
80207-3139
US

V. Phone/Fax

Practice location:
  • Phone: 303-377-8662
  • Fax:
Mailing address:
  • Phone: 303-377-8662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00202439
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: