Active NPI
Sachiyo Kawaguchi Chambers, D.D.S.
- Periodontics
- Fort Sam Houston, TX
National Provider Identifier
1881924983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 58585
- Practice address
- 3698 Chambers Pass BLDG 3611
Fort Sam Houston, TX 78234-7766 - Phone
- (210) 221-0826
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58585 | CA | |
| Periodontics | 1223P0300X | 58585 | CA | Primary |
Addresses
Primary practice location
3698 Chambers Pass BLDG 3611
Fort Sam Houston, TX 78234-7766
Mailing address
429 Sagecrest Dr
San Antonio, TX 78232-1227
Other practice location 1
2940 Stanley Rd Bldg 2375
Fort Sam Houston, TX 78234-2740
Phone (210) 295-4156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58585 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1881924983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 SAGECREST DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3698 CHAMBERS PASS BLDG 3611",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782347766",
"telephone_number": "210-221-0826"
}
],
"practiceLocations": [
{
"address_1": "2940 Stanley Rd Bldg 2375",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782342740",
"country_code": "US",
"telephone_number": "210-295-4156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAWAGUCHI CHAMBERS",
"first_name": "SACHIYO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58585",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "58585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.