Mary Teresa Chandler, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3420 Issued in NV

Practice address

3074 Arville St
Las Vegas, NV 89102-7490

Phone

(702) 521-4550

NPI assigned

Jan 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1245561133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 ARVILLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027490",
            "telephone_number": "702-521-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 ARVILLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027490",
            "telephone_number": "702-521-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5630 Coley Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891466845",
            "country_code": "US",
            "telephone_number": "702-799-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "MARY",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NV",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245561133",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terri@futuresmiles.net",
            "affiliation": "N",
            "endpointDescription": "primary email communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3074 Arville St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891027490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Briana Chandler
• Deborah Denise Chandler
• Jared Chandler
• Kelvin D Chandler
• Marice Chandler
• Milena Chandler
• Shannon R. Chandler, O.D.
• Vanessa Chandler
• Bronwyn Katie Chaney
• Carol Ann Chaney, FNP, PHD NUTRITION

• Dental Hygienist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Hygienist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.