Individual provider Active NPI

Kamran Chowdhury, D.D.S.

  • Dentist
  • Chambersburg, PA
National Provider Identifier
1013079342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036907 Issued in PA
Practice address
767 5TH Ave Ste B-3a
Chambersburg, PA 17201-4207
Phone
(717) 263-4462
Fax
(717) 263-8014
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS036907 PA Primary

Addresses

Primary practice location

767 5TH Ave Ste B-3a
Chambersburg, PA 17201-4207

Mailing address

767 5TH Ave Ste B-3a
Chambersburg, PA 17201-4207
Phone (717) 263-4462

Other identifiers 1

IdentifierTypeStateIssuer
1017286060001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20160309000922 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9739210519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036907PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013079342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 5TH AVE STE B-3A",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014207",
            "telephone_number": "717-263-4462",
            "fax_number": "717-263-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 5TH AVE STE B-3A",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014207",
            "telephone_number": "717-263-4462",
            "fax_number": "717-263-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "KAMRAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017286060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.