Active NPI
Matthew Brian Chesler, DDS
- Endodontics
- San Diego, CA
National Provider Identifier
1366435141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 52591
- Practice address
- 19871 Mitscher Way
McAs Miramar
San Diego, CA 92415 - Phone
- (760) 577-7857
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 52591 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 52591 | CA |
Addresses
Primary practice location
19871 Mitscher Way
McAs Miramar
San Diego, CA 92415
Mailing address
1757 Grain Mill Rd
San Marcos, CA 92078-1062
Phone (323) 481-3740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161122000949 | CA | Order and Referring Only - Other (Physician) | 6901185537 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52591 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1366435141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1757 GRAIN MILL RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781062",
"telephone_number": "323-481-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19871 MITSCHER WAY",
"address_2": "MCAS MIRAMAR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92415",
"telephone_number": "760-577-7857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESLER",
"first_name": "MATTHEW",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "52591",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52591",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.