Active NPI
Waneta Lee Chenault, D.D.S.
- General Practice Dentistry
- Highland Village, TX
National Provider Identifier
1679580476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18995
- Practice address
- 2280 Highland Village Rd
Ste. 100
Highland Village, TX 75077-7146 - Phone
- (972) 966-6686
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18995 | TX | Primary |
Addresses
Primary practice location
2280 Highland Village Rd
Ste. 100
Highland Village, TX 75077-7146
Mailing address
2280 Highland Village Rd
Ste. 100
Highland Village, TX 75077-7146
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18995 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waneta Chenault D.D.S., P.a. | General Practice | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Highland Village, TX
- NPI 1215058003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679580476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 HIGHLAND VILLAGE RD",
"address_2": "STE. 100",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750777146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 HIGHLAND VILLAGE RD",
"address_2": "STE. 100",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750777146",
"telephone_number": "972-966-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENAULT",
"first_name": "WANETA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Village, TX
- Sarah Marie Caudle, PA-C
- Caleen Michele Cavitt, APRN
- Celestial Mental Health
- Cherry Chandi, MD
- CHC Highland Village, LLC (Connected Health Centers)
- Cherry Chandi, M.D., P.a.
- Christina Dellanebbia PHD Inc (Christina Dellnebbia, PHD)
- City of Highland Village (Highland Village Fire Department)
- Jason Clapp, D.D.S., P.A.
- Marla Rae Conger, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.