Organization Active NPI

Clay Chandler DDS MD & Brian Kelley DDS MD Apc

Doing business as Lafayette Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lafayette, LA
National Provider Identifier
1225235807
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
CLAY CHANDLER DDS MD & BRIAN KELLEY DDS MD APC
Doing business as
Lafayette Oral Surgery
Practice address
300 Starling Lane
Lafayette, LA 70508
Phone
(337) 984-0403
Fax
(337) 981-9006
NPI assigned
Jun 28, 2007
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Bridget Fabre
Title
Practice Manager
Phone
(337) 984-0403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X NU Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2529 LA

Addresses

Primary practice location

300 Starling Lane
Lafayette, LA 70508

Mailing address

300 Starling Lane
Lafayette, LA 70508
Phone (337) 984-0403

Other names 1

  • Lafayette Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

3839 W Congress St
Ste C
Lafayette, LA 70506
Phone (337) 984-0403

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1225235807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STARLING LANE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-984-0403",
            "fax_number": "337-981-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STARLING LANE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-984-0403",
            "fax_number": "337-981-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY CHANDLER DDS MD & BRIAN KELLEY DDS MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "FABRE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "337-984-0403"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "2529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lafayette Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.