Chandlor Bearden, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26024 Issued in FL

Practice address

4030 Park Blvd N
Pinellas Park, FL 33781-3633

Phone

(727) 977-9846

NPI assigned

Jun 28, 2021

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

Practice roles (2 of 3)

Networks

• Freedom Health HMO Network

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.

• Coral Springs Modern Dentistry, PA

  • Dentist
  • Coral Springs, FL
  • NPI 1396267100
  NPD (past)
• MCD Dentistry, PA

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1831446376

  General Practice

  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1922678366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813633",
            "telephone_number": "727-977-9846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3680 W Gandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336112608",
            "country_code": "US",
            "telephone_number": "813-895-3798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12813 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182803",
            "country_code": "US",
            "telephone_number": "813-962-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "CHANDLOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2023-10-16",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Orthopaedic Specialists LLC
• Kristy Leigh Baynes
• Bayou Anesthesia and Pain Management Associates PA
• Bayside Terrace Senior Living, LLC
• Chloe Kay Inez Bean
• Brittany Anne Beardsley, MSW
• Danielle Josie Becker, BA
• Bharminder Bedi, MD
• Gurneet Singh Bedi, M.D.
• Eda Maria Beers, DMD

• All providers in Pinellas Park, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.