DR. TYLER CHANCELLOR DDS
NPI 1396314365
Dentist - General Practice in Saint Louis, MO

Active since June 23, 2021
4016 LEMAY FERRY RD, SAINT LOUIS, MO 63129(303) 305-4062 Get Directions Write a Review

NPPES record last updated: August 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2024, Jun 28, 2021, Jun 23, 2021 (3 updates tracked since 2021).

About Dr. Tyler Chancellor Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYLER CHANCELLOR DDS (NPI 1396314365) is an individual general practice provider in Saint Louis, Missouri, licensed in Colorado (00204788) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1396314365
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TYLER CHANCELLORCredential: DDS
Location Address4016 LEMAY FERRY RDSaint Louis, MO 63129-1858
Mailing Address716 Williamsburg BlvdEdwardsville, IL 62025-5538 · (303) 915-4694
Sole ProprietorYes
Enumeration DateJune 23, 2021
Last NPPES UpdateAugust 10, 20243 updates tracked since enumeration
NPPES CertifiedAugust 10, 2024
NPI 1396314365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · 00204788
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4016 LEMAY FERRY RD, Saint Louis, MO 63129

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129
Dentist (General Practice)
4016 LEMAY FERRY RD
SAINT LOUIS, MO 63129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Chancellor's NPI number?

The NPI number for Tyler Chancellor is 1396314365. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Tyler Chancellor located?

Tyler Chancellor practices at 4016 Lemay Ferry Rd, Saint Louis, MO 63129. The listed phone number is (303) 305-4062.

What is Tyler Chancellor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tyler Chancellor accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Tyler Chancellor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Chancellor was last updated on August 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.