Individual provider Active NPI

Chandler Hill, DDS

  • Dentist
  • Saint Joseph, MO
National Provider Identifier
1497596761
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2024019575 Issued in MO
Practice address
805 N 36TH St Ste a
Saint Joseph, MO 64506-2954
Phone
(816) 232-3011
NPI assigned
Jun 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2024019575 MO Primary

Addresses

Primary practice location

805 N 36TH St Ste a
Saint Joseph, MO 64506-2954

Mailing address

805 N 36TH St Ste a
Saint Joseph, MO 64506-2954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024019575MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Smiles LLC Dentist CurrentSince Jun 9, 2024 Accepting new patients
Dr. Lisa a Goin, DDS, PC PastSince Jun 9, 2024 Accepting new patients

Locations

805 N 36th St
Ste A
Saint Joseph, MO 64506
Phone (816) 232-3011

Organizations & group practices 2

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1497596761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N 36TH ST STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N 36TH ST STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062954",
            "telephone_number": "816-232-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2024019575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.