Individual provider Active NPI

Chandler Pleasant, D.M.D.

  • General Practice Dentistry
  • Brandon, MS
National Provider Identifier
1992047583
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3654-12 Issued in MS
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

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3654-12MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Dental Center of Raymond CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.