Individual provider Active NPI

Marcie Vondrich Chambers, D.D.S.

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1699811182
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2524 Issued in AZ
Practice address
20241 N 67TH Ave Ste A3
Glendale, AZ 85308-6658
Phone
(623) 561-1991
Fax
(623) 561-0193
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2524 AZ Primary

Addresses

Primary practice location

20241 N 67TH Ave Ste A3
Glendale, AZ 85308-6658

Mailing address

862 Big Bear Cir
Lakeside, AZ 85929-5926
Phone (602) 615-8600

Other names 1

  • Dr. Marcela Vondrich Chambers Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2524AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Legends Family Dental Center 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1699811182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 BIG BEAR CIR",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295926",
            "telephone_number": "602-615-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20241 N 67TH AVE STE A3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086658",
            "telephone_number": "623-561-1991",
            "fax_number": "623-561-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MARCIE",
        "middle_name": "VONDRICH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELA",
            "last_name": "CHAMBERS",
            "middle_name": "VONDRICH",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.