Wayne S Chanler, DMD,PC
Individual provider Active NPI General Practice Dentistry · Naples, NY
NPI 1124152715 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1124152715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 032121 (NY)
- Practice address
- 106 N. Main Street
Naples, NY 14512 - Phone
- (585) 374-6323
- Fax
- (585) 374-6324
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422001446 | NY | Order and Referring Only - Dentist |
3173822343 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032121 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne S Chanler, DMD, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 032121 | NY | Yes |
Addresses
Primary practice location
106 N. Main Street
Naples, NY 14512
Mailing address
PO Box 308
Naples, NY 14512-0308
Phone (585) 374-6323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00464291 | Medicaid | NY | |
| 32121 | Other | NY | CSEA |
| 7710 | Other | NY | BLUE CROSS |
| 5828183 | Other | NY | AETNA |
Other providers in Naples, NY
- Marianna D Beigel
- Wende J Betts
- Catherine Burke
- Kathleen Ann Busch
- Joseph M Campbell
- Lisa Anne Deckman
- Alice Demallie
- Patricia Jean Drake
- Robert P Fardette
- Finger Lakes Dental Care of Naples, PLLC
All providers in Naples, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.