Jessica Patricia Chacon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044706 Issued in PA

Practice address

1710 Dekalb Pike
Blue Bell, PA 19422-3352

Phone

(610) 277-8100

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arnold Randel, D.M.D., P.C.

  • Prosthodontics
  • Blue Bell, PA
  • NPI 1841401551
  NPD (past)
• Pulaski Family and Cosmetic Dentistry, LLC

  dba Pulaski Dental

  • Dentist
  • Blue Bell, PA
  • NPI 1881149235
  NPD (past)

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1730924473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE DR APT 447",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063390",
            "telephone_number": "201-744-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223352",
            "telephone_number": "610-277-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "JESSICA",
        "middle_name": "PATRICIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Carlucci
• Daniel Carradorini, D.C.
• Colin Cascio
• Tricia Cavanaugh, M.D.
• CDM Physical Therapy & Performance
• P Chandra Chadaga, M.D
• Kristen Chai, PT, DPT
• Change Home Care LLC
• Charles K Herman MD PLLC
• Charles V. Giannasio, MD, PC

• General Practice Dentistry in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.