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Deactivated NPI 1053521179 Deactivated / Inactive NPI Male Practitioner

Dr. Ted Chaffee , DDS

Dentist • Simi Valley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ted Chaffee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2007
NPI Deactivation Date January 15, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Ted Chaffee, DDS was a registered Dentist practicing in Simi Valley, CA. Throughout an active medical career spanning 19 years, Dr. Chaffee provided care at the practice location at 2950 SYCAMORE DR until profile deactivation on 2026-01-15.

Practice Location & Contact Primary Location

Practice Address

2950 Sycamore Dr
#103

Simi Valley, CA 930651210

Telephone 8055276400
Fax 8055276950
Associated Practice Facility / Clinic
🏢 Deal Enterprises Inc Facility NPI 1669469615

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Simi Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
52 Specialists

Practicing in Simi Valley, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 22722

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1144364563

Registered Pharmacist

NPI 1477542173

Doctor of Medicine (M.D.)

Melanie Dreher

Family Medicine

NPI 1679125413
NPI 1912996612

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 15, 2026

Record deactivated on January 15, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2950 SYCAMORE DR, #103, SIMI VALLEY, CA 930651210 (Tel: 8055276400)

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Updated Business Mailing Address July 08, 2007

Registered at 2950 SYCAMORE DR, #103, SIMI VALLEY, CA 930651210 (Tel: 8055276400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TED CHAFFEE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #22722 in CA)

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Initial NPI Registration & Enumeration May 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053521179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2007
Last Update: July 08, 2007
Deactivation Date: January 15, 2026

Mailing Address

2950 Sycamore Dr, #103

Simi Valley, CA 930651210

Phone: 8055276400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.