Active NPI
Prabhjot Kaur Chahal
- General Practice Dentistry
- Pearland, TX
National Provider Identifier
1033374582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0024140
- Practice address
- 10645 Broadway St
Pearland, TX 77584-8007 - Phone
- (713) 436-9416
- NPI assigned
- Jul 24, 2008
- Last updated
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0024140 | TX | Primary |
Addresses
Primary practice location
10645 Broadway St
Pearland, TX 77584-8007
Mailing address
609 Milton St
Angleton, TX 77515-3446
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151028001080 | TX | Order and Referring Only - Dentist | 3072822360 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024140 | TX | MD | General Practice Dentistry |
| 24140 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1033374582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 MILTON ST",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775153446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10645 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848007",
"telephone_number": "713-436-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAHAL",
"first_name": "PRABHJOT",
"middle_name": "KAUR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "0024140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
- Nery Cervantes
- Kasey Cervantez
- CFM Emergency Care Specialists, LLP (Comprehensive Emergency Services)
- CFM Interests, LTD (Texas Emergency Care)
- Leena Chacko, PHARM.D.
- Chris Chaisiri, PHARM.D.
- Sanobar Chaklashia, FNP-C
- Chrislyn Adelia Chaloupka, FNP-C
- Joseph David Chambers II, LPC
- Kellee L Chambers, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.