Organization Active NPI

Chancellor Pediatrics, P.C.

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1649215948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101228664 Issued in VA
Legal business name
CHANCELLOR PEDIATRICS, P.C.
Practice address
12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone
(540) 786-9771
Fax
(540) 548-8806
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Charles Amory, M.D.NPI 1821077249
Title
Physician/Owner
Phone
(540) 786-9771

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
Pediatrics Physician 208000000X 0101228664 VA Primary

Addresses

Primary practice location

12006 Kilarney Dr
Fredericksburg, VA 22407-7207

Mailing address

12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone (540) 786-9771

National Provider Directory

National Provider Directory

Locations

12004 Kilarney Dr
Fredericksbrg, VA 22407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649215948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12006 KILARNEY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077207",
            "telephone_number": "540-786-9771",
            "fax_number": "540-548-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 KILARNEY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077207",
            "telephone_number": "540-786-9771",
            "fax_number": "540-548-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMORY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-786-9771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101228664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

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.