Richard Lance Chilian, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

11234 Issued in AZ

Practice address

2539 West Bloch Road
Phoenix, AZ 85041-2908

Phone

(602) 749-0738

Fax

(602) 749-0738

NPI assigned

Dec 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1962705889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 WEST BLOCH ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412908",
            "telephone_number": "602-749-0738",
            "fax_number": "602-749-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 WEST BLOCH ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412908",
            "telephone_number": "602-749-0738",
            "fax_number": "602-749-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILIAN",
        "first_name": "RICHARD",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "11234",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "4905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley R Childress, RN
• Julia Childress, BCBA
• Angela Childs, FNP, PMHNP
• Gavin Christopher Chiles, PHARMD
• Lisa B Chiles, O.D.
• Ram K Chillar, M.D.
• Ha Chim, M.D.
• Tanmay Manek Chimegawe, M.D.
• Lisa Harmony Chimes
• Meelin Dian Chin Kit-Wells, DDS

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.