Individual provider Active NPI

Steven Curtis Chandler

  • Dentist
  • Visalia, CA
National Provider Identifier
1982012712
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58475 Issued in CA
Practice address
2744 W Main St
Visalia, CA 93291-4332
Phone
(559) 734-6492
Fax
(559) 734-6492
NPI assigned
Jul 24, 2014
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58475 CA Primary

Addresses

Primary practice location

2744 W Main St
Visalia, CA 93291-4332

Mailing address

2744 W Main St
Visalia, CA 93291-4332
Phone (559) 734-6492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150901000176 CA Order and Referring Only - DentistPractitioner - Dentist 9638485063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58475CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Dental Group Dentist CurrentSince Dec 1, 2024 Accepting new patients
Keith E Williams DDS Inc Dentist PastSince Jul 17, 2021 Accepting new patients

Locations

2744 W Main St
Visalia, CA 93291
Phone (559) 734-6492

Organizations & group practices 2

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1982012712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914332",
            "telephone_number": "559-734-6492",
            "fax_number": "559-734-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914332",
            "telephone_number": "559-734-6492",
            "fax_number": "559-734-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "STEVEN",
        "middle_name": "CURTIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.