Thaddeus Miles Chamberlain, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07519 Issued in IA

Practice address

21142 Santa Lucia
San Antonio, TX 78259-2173

Phone

(210) 565-0647

Fax

(210) 565-4240

NPI assigned

Aug 15, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831181098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21142 SANTA LUCIA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592173",
            "telephone_number": "210-565-0647",
            "fax_number": "210-565-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21142 SANTA LUCIA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592173",
            "telephone_number": "210-565-0647",
            "fax_number": "210-565-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "THADDEUS",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suneetha Challagundla, MD
• Madhu B Challapalli, MD
• Amanda Chamberlain, PHARM.D.
• Damian Rashad Chamberlain, MD
• Lance David Chamberlain, PH.D.
• Aubrey Pat Chambers, MD
• Edy C Chambers, MNT
• Juan R Chambers
• Michael Glynn Chambers, PA-C
• Venessa Chambers

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• 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.

Verify at the official NPI Registry.