Active NPI
Ketaki Chougule, DDS
- Dentist
- Big Spring, TX
National Provider Identifier
1013527035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36467
- Practice address
- 1915 S Gregg St
Big Spring, TX 79720-5434 - Phone
- (432) 264-0205
- NPI assigned
- Aug 4, 2020
- Last updated
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36467 | TX | Primary |
Addresses
Primary practice location
1915 S Gregg St
Big Spring, TX 79720-5434
Mailing address
901 E FM 700 Apt 615
Big Spring, TX 79720-5773
Phone (510) 203-9391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36467 | TX | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1013527035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E FM 700 APT 615",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797205773",
"telephone_number": "510-203-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 S GREGG ST",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797205434",
"telephone_number": "432-264-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUGULE",
"first_name": "KETAKI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.