Chanelle J Commedore Milledge

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31909 Issued in TX

Practice address

20042 Eva St Ste 100
Montgomery, TX 77356-2042

Phone

(936) 206-7069

NPI assigned

Mar 3, 2015

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Dentists of Montgomery, PC

  • Dentist
  • Montgomery, TX
  • NPI 1750892782
  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1831581693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131478",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773931478",
            "telephone_number": "813-540-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20042 EVA ST STE 100",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773562042",
            "telephone_number": "936-206-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEDGE",
        "first_name": "CHANELLE",
        "middle_name": "J COMMEDORE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a. Kaplan, MD, PA
• Rosemarie Middleton, DDS, MS
• Kathryn Denise Miers, LPC
• Monica M Milford
• Richard Kyle Milian, M.D.
• Keely Kay Miller, RBT
• Thomas Clement Miller Jr., DDS
• Mindovermatter LLC
• Sheila Jean Mistric
• Lindsey Marie Mitchell, LPC, CRC

• General Practice Dentistry in Montgomery, TX
• Providers in Montgomery, 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 Oct 27, 2025; 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.

Verify at the official NPI Registry.