NPIMap

Organization Active NPI

Laurel Chandler MD PLLC

Doing business as Chandler Plastic Surgery

  • Plastic Surgery Physician
  • Wilton, CT
National Provider Identifier
1073177184
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
LAUREL CHANDLER MD PLLC
Doing business as
Chandler Plastic Surgery
Practice address
195 Danbury Rd Ste 203
Wilton, CT 06897-4075
Phone
(203) 423-3132
Fax
(203) 423-0124
NPI assigned
Apr 24, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Laurel Chandler, MDNPI 1063778082
Title
Physician
Phone
(978) 460-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

195 Danbury Rd Ste 203
Wilton, CT 06897-4075

Mailing address

41 Phillips Rd
Sudbury, MA 01776-1271
Phone (978) 460-0211

Other identifiers 1

IdentifierTypeStateIssuer
1063778082OtherINDIVIDUAL NPI

Other names 1

  • Chandler Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

195 Danbury Rd
Ste 203
Wilton, CT 06897
Phone (203) 423-3132

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1073177184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PHILLIPS RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761271",
            "telephone_number": "978-460-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 DANBURY RD STE 203",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974075",
            "telephone_number": "203-423-3132",
            "fax_number": "203-423-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CHANDLER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "978-460-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063778082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chandler Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.