Individual provider Active NPI

Denis Chagnon, M.D.

  • Family Medicine Physician
  • Lake Placid, NY
National Provider Identifier
1831288216
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
116548 Issued in NY
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00544725MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000151 NY Practitioner - Family Practice 0648349514 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116548NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical Services PastSince Jun 8, 2015 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.

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

Verify at the official NPI Registry.