Individual provider Active NPI

Chandler Jean Jones, DMD

  • Dentist
  • Ladysmith, WI
National Provider Identifier
1154813954
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001844-15 Issued in WI
Practice address
315 Miner Ave W
Ladysmith, WI 54848-1725
Phone
(715) 532-2500
Fax
(715) 532-9606
NPI assigned
Jun 6, 2018
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001844-15 WI Primary

Addresses

Primary practice location

315 Miner Ave W
Ladysmith, WI 54848-1725

Mailing address

PO Box 7900
Marshfield, WI 54449-7900
Phone (888) 533-2684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20190624000108 WI Order and Referring Only - DentistPractitioner - Dentist 6507190766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001844-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1154813954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7900",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544497900",
            "telephone_number": "888-533-2684",
            "fax_number": "715-502-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MINER AVE W",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481725",
            "telephone_number": "715-532-2500",
            "fax_number": "715-532-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHANDLER",
        "middle_name": "JEAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001844-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladysmith, WI

Sources for this page

Verify at the official NPI Registry.