Chandra M. Minor, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

OR-484-14 Issued in MS

Practice address

1047 W Gallman Rd
Hazlehurst, MS 39083-9452

Phone

(601) 955-7844

NPI assigned

Nov 26, 2013

Last updated

Oct 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Design Orthodontics, LLC

  • Dentist
  • Hazlehurst, MS
  • NPI 1891102604
  NPD (past) Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1548690688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIVERWIND DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085653",
            "telephone_number": "601-965-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 W GALLMAN RD",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390839452",
            "telephone_number": "601-955-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "CHANDRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3651-12",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "OR-484-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred J McDonnell, MD
• Preston McDonnell, M.D.
• Elizabeth McKinley, R.D., L.D., NSCA-CPT
• Medicomp, Inc (Copiah Wellness & Rehab)
• Jason Dean Miles, OTR/L
• Mississippi Eye Care of Hazlehurst
• Mississippi State Department of Health
• Ms Medical Supplies, Inc.
• Cameron Newell
• Alysia R Newman, P.T.

• Orthodontics and Dentofacial Orthopedics Dentistry in Hazlehurst, MS
• Providers in Hazlehurst, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.