Organization Active NPI

Chandler Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Chandler, AZ
National Provider Identifier
1457844516
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D9701 Issued in AZ
Legal business name
CHANDLER ORAL AND MAXILLOFACIAL SURGERY
Practice address
1799 E Queen Creek Rd Ste 4
Chandler, AZ 85286-2015
Phone
(480) 471-6492
Fax
(480) 930-4328
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Robert Yong, DDSNPI 1518113117
Title
Owner
Phone
(480) 471-6492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X D9701 AZ Primary

Addresses

Primary practice location

1799 E Queen Creek Rd Ste 4
Chandler, AZ 85286-2015

Mailing address

1799 E Queen Creek Rd Ste 4
Chandler, AZ 85286-2015
Phone (480) 471-6492

Other names 1

  • Chandler Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

1799 E Queen Creek Rd
Ste 4
Chandler, AZ 85286
Phone (480) 471-6492

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1457844516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 E QUEEN CREEK RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862015",
            "telephone_number": "480-471-6492",
            "fax_number": "480-930-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 E QUEEN CREEK RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862015",
            "telephone_number": "480-471-6492",
            "fax_number": "480-930-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "YONG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-471-6492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D9701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.