Individual provider Active NPI

Chandni Mahindra, DDS

  • General Practice Dentistry
  • Rockland, ME
National Provider Identifier
1043624158
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30054 Issued in TX
Practice address
19 Summer St
Rockland, ME 04841-2917
Phone
(732) 766-4865
NPI assigned
Jun 17, 2014
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30054 TX Primary

Addresses

Primary practice location

19 Summer St
Rockland, ME 04841-2917

Mailing address

19 Summer St
Rockland, ME 04841-2917
Phone (732) 766-4865

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
I20160205000410 TX Order and Referring Only - DentistPractitioner - Dentist 9436453859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deland Smiles Current Accepting new patients
Rockland Family Dentistry Current Accepting new patients

Locations

19 Summer St
Rockland, ME 04841
Phone (207) 594-8353

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1043624158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "732-766-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "732-766-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHINDRA",
        "first_name": "CHANDNI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

Verify at the official NPI Registry.