Jeffrey W Chandler DDS MD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JEFFREY W CHANDLER DDS MD PC

Practice address

360 W Butterfield Rd Ste 220
Elmhurst, IL 60126-5000

Phone

(630) 833-0395

NPI assigned

Jan 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey W. Chandler, DDS, MDNPI 1013064864

Title

President

Phone

(312) 636-5775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey W Chandler, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmhurst, IL
  • NPI 1013064864
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1003092800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 220",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265000",
            "telephone_number": "630-833-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BUTTERFIELD RD STE 220",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265000",
            "telephone_number": "630-833-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W CHANDLER DDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-636-5775",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn J Jarosky, MD
• Catherine A Jasien, LMT
• Jeff Anthony Damico DO PLLC
• Quiana Michelle Jefferson
• Jeffrey So Inc
• Annalisa Stallone Jelonek
• Mia Jelovac, PA-C
• Nelson Jenig, LSW
• Jennifer M Mauck Dba Bloom Into Speech
• Jerald Scharfenberg DDS PC

• Oral and Maxillofacial Surgery (Dentist) in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.