Organization Active NPI

Chacker & Chacker PA

  • Periodontics
  • Lawrenceville, NJ
National Provider Identifier
1558565010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DI16170 Issued in NJ
Legal business name
CHACKER & CHACKER PA
Practice address
6 Colonial Lake Dr
Lawrenceville, NJ 08648-4126
Phone
(609) 883-6900
Fax
(609) 883-2785
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laurence G Chakcer
Title
Doctor
Phone
(609) 883-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DI16170 NJ Primary

Addresses

Primary practice location

6 Colonial Lake Dr
Lawrenceville, NJ 08648-4126

Mailing address

6 Colonial Lake Dr
Lawrenceville, NJ 08648-4126
Phone (609) 883-6900

National Provider Directory

National Provider Directory

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558565010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-6900",
            "fax_number": "609-883-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-6900",
            "fax_number": "609-883-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHACKER & CHACKER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAKCER",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-883-6900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI16170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.