Terence L Champlin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C7675 Issued in AR

Practice address

955 Carolyn Lane
Conway, AR 72034-5015

Phone

(501) 327-2444

Fax

(501) 327-2443

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLC Pediatrics, PLLC

  • Pediatrics Physician
  • Conway, AR
  • NPI 1649584038
  NPD Authorized official

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1285612671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CAROLYN LANE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345015",
            "telephone_number": "501-327-2444",
            "fax_number": "501-327-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CAROLYN LANE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345015",
            "telephone_number": "501-327-2444",
            "fax_number": "501-327-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPLIN",
        "first_name": "TERENCE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C7675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5K536",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121809001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Dental - Conway, LLC
• Ashley Chacko, MOT, OTR/L
• Ashlyn C Chambers, BT
• Julia Elizabeth Chambers, APRN, FNP-C
• Lauren Chambless
• Jessica Chandler, MHPP
• Michael Chandler, PHARMD
• Phoebe Chang
• Megan Nicole Chanhnouvong, DC
• Casi Malone Chanslor, PT

• Pediatrics Physician in Conway, AR
• Providers in Conway, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.