John Nickiforos Chambarlis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10,019 Issued in MD

Practice address

8895 Centre Park Dr
Suite D
Columbia, MD 21045-1966

Phone

(410) 997-3100

Fax

(410) 997-3105

NPI assigned

Mar 6, 2007

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• John N Chmbarlis Centre Park Family Dentistry , PC

  • General Practice Dentistry
  • Columbia, MD
  • NPI 1063108298
  NPD Authorized official
• Manisha Dhananjaya DDS LLC

  dba Centre Park Family Dental

  • General Practice Dentistry
  • Columbia, MD
  • NPI 1952193898
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1699805838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 MILLERS WAY DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210431958",
            "telephone_number": "410-461-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 CENTRE PARK DR",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451966",
            "telephone_number": "410-997-3100",
            "fax_number": "410-997-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBARLIS",
        "first_name": "JOHN",
        "middle_name": "NICKIFOROS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10019",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10,019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Tomas Cernikovsky, PSY.D.
• Kathryn McCrea Cervi, M.S., C.R.N.P.
• Elaine Chae
• Angat Chahal
• Chakramoon, Inc
• Dawn M Chamberlain, LCPC
• Taylor Chambers
• Elizabeth Lynn Champigny I
• Maureen Violet Champion, L.AC.
• Diona Marie Chan

• General Practice Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.