Individual provider Active NPI

Asad N Chaudhry, DDS

  • General Practice Dentistry
  • Bethlehem, PA
National Provider Identifier
1043380314
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036960 Issued in PA
Practice address
2571 Baglyos Cir
Suite B30
Bethlehem, PA 18020-8045
Phone
(610) 317-2454
Fax
(610) 571-1310
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02157800 NJ
General Practice Dentistry 1223G0001X DS036960 PA Primary

Addresses

Primary practice location

2571 Baglyos Cir
Suite B30
Bethlehem, PA 18020-8045

Mailing address

2571 Baglyos Cir
Suite B30
Bethlehem, PA 18020-8045
Phone (610) 317-2454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150319002338 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5890012439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02157800NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1043380314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR",
            "address_2": "SUITE B30",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208045",
            "telephone_number": "610-317-2454",
            "fax_number": "610-571-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR",
            "address_2": "SUITE B30",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208045",
            "telephone_number": "610-317-2454",
            "fax_number": "610-571-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "ASAD",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02157800",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.