Individual provider Active NPI

John R Chance III, M.D.

  • Orthopaedic Surgery Physician
  • Live Oak, TX
National Provider Identifier
1114084365
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K5269 Issued in TX
Practice address
6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone
(210) 477-5151
Fax
(210) 477-5152
NPI assigned
Jan 3, 2007
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K5269 TX Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X K5269 TX

Addresses

Primary practice location

6704 Randolph Blvd
Live Oak, TX 78233-4222

Mailing address

12709 Toepperwein Rd
Ste 101
Live Oak, TX 78233-3259
Phone (210) 477-5151

Other identifiers 1

IdentifierTypeStateIssuer
P00983033OtherTXRAILROAD MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000235 TX Practitioner - Orthopedic Surgery 5991852964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

18707 Hardy Oak Blvd
Suite 415
San Antonio, TX 78258-4841
Phone (210) 477-5151

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151

8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151

8811 Village Dr
San Antonio, TX 78217-5415

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Nov 7, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 7, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

12709 Toepperwein Rd
Ste 101
Live Oak, TX 78233

6704 Randolph Blvd
Live Oak, TX 78233
Phone (210) 656-9506

18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone (210) 653-5001

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

17766 Verde Pkwy
Ste 150
Selma, TX 78154

Interoperability endpoints

  • Direct secure messaging: john.chance.iii.1@1438.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1114084365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "address_2": "STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333259",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 RANDOLPH BLVD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334222",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE III",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K5269",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "K5269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00983033",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.