Individual provider Active NPI

Cheryl Gaye Chance, LO CO

  • Orthotist
  • Beaumont, TX
National Provider Identifier
1124081617
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
163 Issued in TX
Practice address
3195 Calder St
Suite 200
Beaumont, TX 77702-1410
Phone
(409) 833-8600
Fax
(409) 833-8605
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 163 TX Primary

Addresses

Primary practice location

3195 Calder St
Suite 200
Beaumont, TX 77702-1410

Mailing address

3195 Calder St
Suite 200
Beaumont, TX 77702-1410
Phone (409) 833-8600

Other identifiers 5

IdentifierTypeStateIssuer
21919OtherTXCHOICE 1 UTMB HEALTHCARE
164392601MedicaidTX
710888709OtherTXHUMANA CHOICE CARE
10018181OtherTXAMERIGROUP MANAGED CARE
531812OtherTXBLUE CROSS BLUE SHIELD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
163TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
J & C Orthotics and Prosthetics Orthotist Current Accepting new patients
J & C Orthotics and Prosthetics Current Accepting new patients

Locations

3195 Calder St
Ste 200
Beaumont, TX 77702
Phone (409) 833-8600

Organizations & group practices 2

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1124081617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 CALDER ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021410",
            "telephone_number": "409-833-8600",
            "fax_number": "409-833-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 CALDER ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021410",
            "telephone_number": "409-833-8600",
            "fax_number": "409-833-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "CHERYL",
        "middle_name": "GAYE",
        "name_prefix": "Ms.",
        "credential": "LO CO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE 1 UTMB HEALTHCARE",
            "identifier": "21919",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164392601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE CARE",
            "identifier": "710888709",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP MANAGED CARE",
            "identifier": "10018181",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531812",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.