Individual provider Active NPI

Chadwick Miles Sargent, DDS

  • Endodontics
  • Lubbock, TX
National Provider Identifier
1083694988
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20116 Issued in TX
Practice address
7515 Quaker Ave
Suite 300
Lubbock, TX 79424-5308
Phone
(806) 797-4455
Fax
(806) 797-2460
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 20116 TX Primary

Addresses

Primary practice location

7515 Quaker Ave
Suite 300
Lubbock, TX 79424-5308

Mailing address

7515 Quaker Ave
Suite 300
Lubbock, TX 79424-5308
Phone (806) 797-4455

Other names 1

  • Dr. Chad Sargent Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228002007 TX Order and Referring Only - DentistPractitioner - Dentist 1951602465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Endodontics, PC Endodontics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1083694988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 QUAKER AVE",
            "address_2": "SUITE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245308",
            "telephone_number": "806-797-4455",
            "fax_number": "806-797-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 QUAKER AVE",
            "address_2": "SUITE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245308",
            "telephone_number": "806-797-4455",
            "fax_number": "806-797-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "CHADWICK",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "20116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "SARGENT",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.