DR. JOSE ANTONIO CHACON
NPI 1649342064
Dentist - Orthodontics and Dentofacial Orthopedics in Mayfield Hts, OH

Active since November 14, 2006PECOS Enrolled
5875 LANDERBROOK DR STE 250, MAYFIELD HTS, OH 44124(800) 487-4867(216) 593-7533 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jose Antonio Chacon NPPES

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

DR. JOSE ANTONIO CHACON (NPI 1649342064) is an individual orthodontics and dentofacial orthopedics provider in Mayfield Hts, Ohio and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649342064
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JOSE ANTONIO CHACON
Location Address5875 LANDERBROOK DR STE 250Mayfield Hts, OH 44124-6502
Mailing Address125 E 13th St, # 1405Chicago, IL 60605-2655 · (312) 834-0521 · Fax (312) 834-0521
Fax(216) 593-7533
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1649342064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
5875 LANDERBROOK DR STE 250, Mayfield Hts, OH 44124

Accepted Insurance

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. Jose Antonio Chacon 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 44124 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Dentist (General Practice)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124
Dentist (General Practice)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124
Dentist (General Practice)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124
Dentist (General Practice)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124
Dentist (Orthodontics and Dentofacial Orthopedics)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124
Dentist (General Practice)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124
Dentist (General Practice)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124
Dentist (General Practice)
5875 LANDERBROOK DR STE 250
MAYFIELD HTS, OH 44124

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 Jose Chacon's NPI number?

The NPI number for Jose Chacon is 1649342064. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Jose Chacon located?

Jose Chacon practices at 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124. The listed phone number is (800) 487-4867.

What is Jose Chacon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jose Chacon enrolled in Medicare?

Yes. Jose Chacon is registered in the Medicare PECOS enrollment system.

What insurance does Jose Chacon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jose Chacon 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 Jose Chacon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.