DR. CHANELLE J COMMEDORE MILLEDGE
NPI 1831581693
Dentist - General Practice in Montgomery, TX

Active since March 03, 2015PECOS Enrolled
20042 EVA ST STE 100, MONTGOMERY, TX 77356(936) 206-7069 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 31, 2024, Nov 28, 2018, Sep 22, 2016 (3 updates tracked since 2016).

About Dr. Chanelle J Commedore Milledge NPPES

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

DR. CHANELLE J COMMEDORE MILLEDGE (NPI 1831581693) is an individual general practice provider in Montgomery, Texas, licensed in Texas (31909) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831581693
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHANELLE J COMMEDORE MILLEDGE
Location Address20042 EVA ST STE 100Montgomery, TX 77356-2042
Mailing AddressPo Box 131478Spring, TX 77393-1478 · (813) 540-0313
Sole ProprietorNo
Enumeration DateMarch 3, 2015
Last NPPES UpdateOctober 27, 20253 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1831581693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 31909
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.

20042 EVA ST STE 100, Montgomery, TX 77356

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. Chanelle J Commedore Milledge 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 77356 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 4

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

Dentist (General Practice)
20042 EVA ST STE 100
MONTGOMERY, TX 77356
Dentist
20042 EVA ST STE 100
MONTGOMERY, TX 77356
Dentist
20042 EVA ST STE 100
MONTGOMERY, TX 77356
Dentist (General Practice)
20042 EVA ST STE 100
MONTGOMERY, TX 77356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831581693, enumerated as an "individual" on March 03, 2015.

The provider is located at 20042 EVA ST STE 100 MONTGOMERY, TX 77356 and the phone number is (936) 206-7069.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.