Individual provider Active NPI

Christopher Brown Chambers, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Morgantown, WV
National Provider Identifier
1093036782
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15881 Issued in MD
Practice address
971 Valley View Ave
Apt 403
Morgantown, WV 26505-3654
Phone
(304) 531-4448
NPI assigned
Jun 16, 2010
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 15881 MD Primary

Addresses

Primary practice location

971 Valley View Ave
Apt 403
Morgantown, WV 26505-3654

Mailing address

275 West St Ste 100
Annapolis, MD 21401-3468
Phone (410) 268-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 21, 2015 through Jul 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15881MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Walzer Sullivan & Hlousek PA Oral and Maxillofacial Surgery PastSince May 7, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1093036782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 WEST ST STE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013468",
            "telephone_number": "410-268-7790",
            "fax_number": "304-293-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 VALLEY VIEW AVE",
            "address_2": "APT 403",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053654",
            "telephone_number": "304-531-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "15881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.