Active NPI
Stacy Ann Chandler, RDH
- Dental Hygienist
- Monongahela, PA
National Provider Identifier
1730198409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH067857
- Practice address
- 173 West Main St
Monongahela, PA 15063 - Phone
- (724) 258-4440
- Fax
- (724) 258-6454
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH067857 | PA | Primary |
Addresses
Primary practice location
173 West Main St
Monongahela, PA 15063
Mailing address
2121 Gibsonton Rd
Belle Vernon, PA 15012
Phone (724) 244-2829
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 |
|---|---|---|---|
| DH067857 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730198409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 GIBSONTON RD",
"city": "BELLE VERNON",
"state": "PA",
"postal_code": "15012",
"telephone_number": "724-244-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 WEST MAIN ST",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "15063",
"telephone_number": "724-258-4440",
"fax_number": "724-258-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "STACY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH067857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monongahela, PA
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.