Joshua Roland Chapa

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

28209 Issued in TX

Practice address

4310 Medical Pkwy Ste 120
Austin, TX 78756-3331

Phone

(512) 454-6861

Fax

(512) 454-4350

NPI assigned

Jan 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1114165685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563331",
            "telephone_number": "512-454-6861",
            "fax_number": "512-454-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563331",
            "telephone_number": "512-454-6861",
            "fax_number": "512-454-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPA",
        "first_name": "JOSHUA",
        "middle_name": "ROLAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "28209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Chanslor
• Brendan Chantelois
• Yuan-Jiun Nicole Chao-Knize, MD
• Elisha Chao, MSN, APRN, ACNPC-AG
• Yesica Chapa-Sobremonte, M.D.
• Raul Chapa, LPC
• Cynthia Chaparro-Krueger, D.O.
• James C. Chapin, M.D.
• Aaron Neil Chapman, L.P.C.
• Allison Chapman

• Periodontics in Austin, TX
• Providers in Austin, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.