Chandental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHANDENTAL PLLC

Practice address

4427 S Rural Rd Ste 2
Tempe, AZ 85282-7061

Phone

(480) 897-2274

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Jeremy Chan, DDS

Title

Owner

Phone

(602) 448-9443

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1740800614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 S RURAL RD STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827061",
            "telephone_number": "480-897-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 S RURAL RD STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827061",
            "telephone_number": "480-897-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-448-9443",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen David Chakmakian, D.O.
• Swapna Chalasani, MD
• Anne Marie Chalmers
• Peggy Chambers, SLP
• Amber Chan
• Katrina Olivia Chandler
• Chandrakant B Patel MD PC
• Yu-Chieh Chang, MM, MT-BC, NMT
• Changing Minds Psychiatry Az LLC
• Annie Chao, D.M.D.

• Dental Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.