NPI Registry.org

Maurice Allen Dale Chessmore

NPI Registration Record

Provider / OrganizationNPIDate Certified
MAURICE ALLEN DALE CHESSMORE11347830792023-05-06

Maurice Allen Dale Chessmore [M] graduated in 2019 from Nebraska College Of Medicine and primarily specializes in Family Medicine.

Maurice Allen Dale Chessmore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1134783079. Registration indicates Maurice Allen Dale Chessmore is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

PECOS ID42623449
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Maurice Allen Dale Chessmore MD
Practice Office Address1115 E 20TH ST
SIOUX FALLS, SD US
Practice Office Telephone6055751644
Mailing Address708 8TH STREET
ARMOUR, SD 57313 US
Business Telephone6057242151
Business Fax6057242310
HPT Codes
CodePractice
License No
State
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
207Q00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine
Allopathic & Osteopathic Physicians
13562
SD
OPI Codes
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