Scott M Chandler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7526337-9922 Issued in UT

Practice address

3080 Pinebrook Rd Ste 2000
Park City, UT 84098-5451

Phone

(801) 465-1810

Fax

(801) 465-1810

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Silver Creek Dental PC

  • General Practice Dentistry
  • Payson, UT
  • NPI 1487075107
  Authorized official Same address or phone

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1699883520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E 2700 N",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369654",
            "telephone_number": "801-362-5929",
            "fax_number": "435-649-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 PINEBROOK RD STE 2000",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985451",
            "telephone_number": "801-465-1810",
            "fax_number": "801-465-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7526337-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806034600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Cedillo
• Amanda J. Cencak, LCMHC
• Center for Team Healthcare
• Robert D. Cervantez, PT
• Jordan Chamberlain, MA, BCBA
• Sierra Chapman, PT, DPT
• Child&Family Institute for Assessment and Psychotherapy, LLC (Child & Family Institute, LLC)
• Ian T Christensen, MD
• Christian Center of Park City (Counseling Center of Park City)
• Tyrene L Christopulos, OT

• General Practice Dentistry in Park City, UT
• Providers in Park City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.