Chandler Pdc PLLC
NPI 1891554705ActiveOrganization· Dentist, General Practice· Chandler, AZ
Dentist, General Practice in Chandler, Arizona, registered in NPPES in March 2024. The authorized official on file is Mark Christensen, Credentialing Specialist.
Overview
| NPI | 1891554705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2024 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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