Chetna Kartik Desai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12204 Issued in MD

Practice address

3290 N Ridge Rd
Suite 180
Ellicott City, MD 21043-3363

Phone

(410) 480-9111

Fax

(410) 480-9133

NPI assigned

Mar 25, 2007

Last updated

Mar 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chetna K. Desai, D.D.S, P.C.

  dba Desai Dental Care

  • Dentist
  • Ellicott City, MD
  • NPI 1154415073
  NPD (past) Authorized official
• Nic Jorge Dental, LLC

  dba Elysian Dental Studio

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1821832569
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364601600000",
    "number": "1013034891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 N RIDGE RD",
            "address_2": "SUITE 180",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433655",
            "telephone_number": "410-480-9111",
            "fax_number": "410-480-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 N RIDGE RD",
            "address_2": "SUITE 180",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433363",
            "telephone_number": "410-480-9111",
            "fax_number": "410-480-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "CHETNA",
        "middle_name": "KARTIK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2013-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008749100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Depietro-Hartman, OTR/L
• Mitra Derakhshan, DDS MS
• Dermatology & Advanced Skin Care
• Dermatology & Advanced Skin Care, Inc.
• Helen E. Derossi, LCSW-C
• Kartik J Desai, MD
• Rupal R Desai, M.D.
• Ujwala Vivek Desai, MD
• Julie Hastings Deshong, OTR/L
• Marie-France Indira Desouza, D.D.S.

• General Practice Dentistry in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.