Chandler L Robertson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2021019492 Issued in MO

Practice address

1652 N Business Rte 5
Camdenton, MO 65020-6502

Phone

(573) 346-7328

NPI assigned

Jun 28, 2021

Last updated

Aug 11, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chandler.robertson.p1@direct.jordanvalley.nextgenshare.com

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.

• Sparta Family Dental

  • Dental Clinic/Center
  • Sparta, MO
  • NPI 1407602436
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1134799638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 23RD AVE",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657216012",
            "telephone_number": "417-844-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 N BUSINESS RTE 5",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206502",
            "telephone_number": "573-346-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CHANDLER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2021019492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richland Medical Center, Inc. (Central Ozarks Medical Center)
• Richland Medical Center, Inc. (Central Ozarks Medical Center)
• Richland Medical Center, Inc. (Central Ozarks Medical Center)
• Richland Medical Center, Inc. (Central Ozarks Medical Center)
• Richland Medical Center, Inc. (Central Ozarks Medical Center)
• Paula Rodriguez
• Boone Rogers
• Saharah, P.C. (Brownell Physical Therapy)
• Savannah Counseling LLC
• School District R- 3 Camdenton

• Dentist in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.