Organization Active NPI

Bryce Chandler DDS, PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1992239818
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20075 Issued in TX
Legal business name
BRYCE CHANDLER DDS, PLLC
Practice address
11021 Old Corpus Christi Hwy
San Antonio, TX 78223-9363
Phone
(210) 633-0057
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Bryce Chandler
Title
Owner
Phone
(210) 633-0057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20075 TX Primary

Addresses

Primary practice location

11021 Old Corpus Christi Hwy
San Antonio, TX 78223-9363

Mailing address

11021 Old Corpus Christi Hwy
San Antonio, TX 78223-9363
Phone (210) 633-0057

Other names 1

  • Chandler Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

11021 Old Corpus Christi Hwy
#H
San Antonio, TX 78223
Phone (210) 633-0057

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1992239818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 OLD CORPUS CHRISTI HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782239363",
            "telephone_number": "210-633-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 OLD CORPUS CHRISTI HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782239363",
            "telephone_number": "210-633-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE CHANDLER DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-633-0057"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.