Maxmillian Chambers, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS100375 Issued in CA

Practice address

3430 Marron Rd
Suite 300
Oceanside, CA 92056-4674

Phone

(760) 730-1303

NPI assigned

Jan 3, 2017

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maxmillian.chambers.p1@direct.cdsdp.nextgenshare.com

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.

• Dart and Sharifian Dental Corporation

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1720185697
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487462400000",
    "number": "1447795265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 FLOWERPOT LN",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151957",
            "telephone_number": "309-846-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 MARRON RD",
            "address_2": "SUITE 300",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564674",
            "telephone_number": "760-730-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MAXMILLIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Cespiva Wright, RBT
• David Mark Chaffee
• Sibelia L Chaiyahat, LCSW
• Brett Marar Chamberlin, M.D.
• Megan Chamberlin
• Rodrick Chambers, LMT
• Gabriel Duane Champagne, SUDCC III
• Dana Casey Chan, MD
• Jack W. Chan, DDS
• Nicole Chiaranon Chan

• Dentist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; 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.

Verify at the official NPI Registry.