Active NPI
Leon H Chandler Jr., MD
- Pain Medicine Physician
- Anchorage, AK
National Provider Identifier
1073593315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 999
- Practice address
- 4100 Lake Otis Pkwy
Suite 216
Anchorage, AK 99508-5222 - Phone
- (907) 563-2873
- Fax
- (907) 563-5852
- NPI assigned
- Jan 20, 2006
- Last updated
- Oct 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 999 | AK | |
| Pain Medicine Physician | 208VP0000X | 999 | AK | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 999 | AK |
Addresses
Primary practice location
4100 Lake Otis Pkwy
Suite 216
Anchorage, AK 99508-5222
Mailing address
PO Box 202113
Anchorage, AK 99520-2113
Phone (907) 868-4062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0999 | Medicaid | AK | |
| 0103468 | Other | AK | WA DEPT OF L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999 | AK | MD | Interventional Pain Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1093710717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1073593315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202113",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995202113",
"telephone_number": "907-868-4062",
"fax_number": "907-929-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"address_2": "SUITE 216",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085222",
"telephone_number": "907-563-2873",
"fax_number": "907-563-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "LEON",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AK",
"license": "999",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AK",
"license": "999",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AK",
"license": "999",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD0999",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DEPT OF L&I",
"identifier": "0103468",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.