Basic Information
| Provider Information | |||||||||
| NPI: | 1992907315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEST | ||||||||
| FirstName: | CHAD | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9224 TEDDY LN | ||||||||
| Address2: | STE. 200 | ||||||||
| City: | LONETREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801246798 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037901515 | ||||||||
| FaxNumber: | 3037901989 | ||||||||
| Practice Location | |||||||||
| Address1: | 9224 TEDDY LN | ||||||||
| Address2: | STE. 200 | ||||||||
| City: | LONETREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801246798 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037901515 | ||||||||
| FaxNumber: | 3037901989 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2007 | ||||||||
| LastUpdateDate: | 02/28/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0206X | 19546 | MN | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 26077531 | 05 | CO | MEDICAID | 1992907315 | 05 | WY | MEDICAID | 1992907315 | 05 | SD | MEDICAID | 10025609200 | 05 | NE | MEDICAID |