DR. MARY ELLEN SULLIVAN CHALMERS D.M.D.
NPI 1639269152
Dentist - General Practice in Santa Rosa, CA

Active since October 13, 2006PECOS Enrolled
95 MONTGOMERY DR, SUITE 106, SANTA ROSA, CA 95404(707) 545-5440(707) 545-4040 Get Directions Write a Review

NPPES record last updated: August 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Ellen Sullivan Chalmers D.m.d. NPPES

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

DR. MARY ELLEN SULLIVAN CHALMERS D.M.D. (NPI 1639269152) is an individual general practice provider in Santa Rosa, California, licensed in California (29829) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639269152
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY ELLEN SULLIVAN CHALMERSCredential: D.M.D.
Location Address95 MONTGOMERY DR, SUITE 106Santa Rosa, CA 95404-6630
Mailing Address95 Montgomery Dr, Suite 106Santa Rosa, CA 95404-6630 · (707) 545-5440 · Fax (707) 545-4040
Fax(707) 545-4040
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateAugust 22, 2008
NPI 1639269152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 29829
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.
95 MONTGOMERY DR, Santa Rosa, CA 95404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mary Ellen Sullivan Chalmers D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
95 MONTGOMERY DR, STE 202
SANTA ROSA, CA 95404
Dentist (General Practice)
95 MONTGOMERY DR, SUITE 212
SANTA ROSA, CA 95404
Physical Therapist (Orthopedic)
95 MONTGOMERY DR, SUITE 90
SANTA ROSA, CA 95404
Dentist (Pediatric Dentistry)
95 MONTGOMERY DR, #210
SANTA ROSA, CA 95404
Physical Medicine & Rehabilitation
95 MONTGOMERY DR, STE 120
SANTA ROSA, CA 95404
Chiropractor (Neurology)
95 MONTGOMERY DR, SUITE 118
SANTA ROSA, CA 95404
Dentist (Orthodontics and Dentofacial Orthopedics)
95 MONTGOMERY DR, SUITE 220
SANTA ROSA, CA 95404
Acupuncturist
95 MONTGOMERY DR, 126
SANTA ROSA, CA 95404

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 Mary Ellen Chalmers's NPI number?

The NPI number for Mary Ellen Chalmers is 1639269152. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mary Ellen Chalmers located?

Mary Ellen Chalmers practices at 95 Montgomery Dr Suite 106, Santa Rosa, CA 95404. The listed phone number is (707) 545-5440.

What is Mary Ellen Chalmers's specialty?

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

Is Mary Ellen Chalmers enrolled in Medicare?

Yes. Mary Ellen Chalmers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ellen Chalmers was last updated on August 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.