Individual provider Active NPI

Chancellor D McLemore, D.M.D.

  • General Practice Dentistry
  • Foley, AL
National Provider Identifier
1487728192
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5438 Issued in AL
Practice address
198 County Road 20
Foley, AL 36535-3426
Phone
(251) 943-3368
Fax
(251) 943-1798
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5438 AL Primary

Addresses

Primary practice location

198 County Road 20
Foley, AL 36535-3426

Mailing address

198 County Road 20
Foley, AL 36535-3426
Phone (251) 943-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20160127002457 AL Order and Referring Only - DentistPractitioner - Dentist 0345543161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5438ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Dental Care, P.C. General Practice PastSince Mar 7, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1487728192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 COUNTY ROAD 20",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353426",
            "telephone_number": "251-943-3368",
            "fax_number": "251-943-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 COUNTY ROAD 20",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353426",
            "telephone_number": "251-943-3368",
            "fax_number": "251-943-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "CHANCELLOR",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.