Individual provider Active NPI

Sumathi Chandrashekhar, DMD

  • General Practice Dentistry
  • Denton, TX
National Provider Identifier
1023071396
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31426 Issued in TX
Practice address
5017 Teasley LN Ste 165
Denton, TX 76210-3895
Phone
(214) 218-5543
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0496581 NY
General Practice Dentistry 1223G0001X 22DI02169000 NJ
General Practice Dentistry 1223G0001X 56055 CA
General Practice Dentistry 1223G0001X 31426 TX Primary

Addresses

Primary practice location

5017 Teasley LN Ste 165
Denton, TX 76210-3895

Mailing address

106 Forest Bend Dr
Coppell, TX 75019-2039
Phone (214) 218-5543

Other names 1

  • Sumathi Ramaswamy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160822001659 TX Order and Referring Only - DentistPractitioner - Dentist 8123313723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02169000NJMDGeneral Practice Dentistry
0496581NYMDGeneral Practice Dentistry
56055CAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1023071396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FOREST BEND DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192039",
            "telephone_number": "214-218-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 TEASLEY LN STE 165",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103895",
            "telephone_number": "214-218-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASHEKHAR",
        "first_name": "SUMATHI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0496581",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02169000",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56055",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMATHI",
            "last_name": "RAMASWAMY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.