Active NPI
Chandler Pleasant, D.M.D.
- General Practice Dentistry
- Brandon, MS
National Provider Identifier
1992047583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3654-12
- Practice address
- 365 Crossgates Blvd
Brandon, MS 39042-2602 - Phone
- (601) 825-2411
- NPI assigned
- Mar 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3654-12 | MS | Primary |
Addresses
Primary practice location
365 Crossgates Blvd
Brandon, MS 39042-2602
Mailing address
365 Crossgates Blvd
Brandon, MS 39042-2602
Phone (601) 825-2411
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 |
|---|---|---|---|
| 3654-12 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Dental Center of Raymond | Current | Accepting new patients | |
| Mississippi Dental Center of Brandon, LLC | Current | Accepting new patients | |
| Mississippi Dental Center of Pelahatchie | Current | Accepting new patients |
Locations
365 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-0202
501 Second St
Pelahatchie, MS 39145
Phone (601) 854-7478
450 W Main St
Raymond, MS 39154
Phone (601) 559-5529
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Brandon, MS
- NPI 1104559749
-
- Dental Clinic/Center
- Pelahatchie, MS
- NPI 1376262360
-
- Dental Clinic/Center
- Raymond, MS
- NPI 1619714193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1992047583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 CROSSGATES BLVD",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422602",
"telephone_number": "601-825-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 CROSSGATES BLVD",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422602",
"telephone_number": "601-825-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEASANT",
"first_name": "CHANDLER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3654-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.