Active NPI
Denis Chagnon, M.D.
- Family Medicine Physician
- Lake Placid, NY
National Provider Identifier
1831288216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 116548
- Practice address
- 1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112 - Phone
- (518) 523-7575
- NPI assigned
- Oct 12, 2006
- Last updated
- May 2, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 116548 | NY | Primary |
Addresses
Primary practice location
1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Mailing address
1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Phone (518) 523-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00544725 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116548 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Medical Services | Past | Accepting new patients | |
| Community Care Physicians, PLLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1962472514
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- Internal Medicine Physician
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- NPI 1922048370
Family Medicine
-
- Specialist
- Saranac Lake, NY
- NPI 1871645705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1831288216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1927 SARANAC AVE",
"address_2": "SUITE 100",
"city": "LAKE PLACID",
"state": "NY",
"postal_code": "129461112",
"telephone_number": "518-523-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 SARANAC AVE",
"address_2": "SUITE 100",
"city": "LAKE PLACID",
"state": "NY",
"postal_code": "129461112",
"telephone_number": "518-523-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAGNON",
"first_name": "DENIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "116548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00544725",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.