Active NPI
Abhishek Chaudhary
- Dentist
- Corning, CA
National Provider Identifier
1063984656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS103389
- Practice address
- 740 Solano St
Corning, CA 96021-3352 - Phone
- (661) 665-0080
- NPI assigned
- Dec 20, 2018
- Last updated
- Apr 4, 2024
- Sex
- Male
- 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 | DDS103389 | CA | Primary |
Addresses
Primary practice location
740 Solano St
Corning, CA 96021-3352
Mailing address
11120 Stockdale Hwy Ste 103
Bakersfield, CA 93311-3680
Phone (661) 665-0080
Other names 1
- Fnu Abhishek
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 |
|---|---|---|---|
| DDS103389 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phi Huynh and Bryan Watanabe Dental Corporation | Past | Accepting new patients | |
| Rolling Hills Clinic | Dentist | Past | Accepting new patients |
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.
-
dba Stockdale Smiles Dentistry and Orthodontics
- General Practice Dentistry
- Bakersfield, CA
- NPI 1174967814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1063984656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 STOCKDALE HWY STE 103",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113680",
"telephone_number": "661-665-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 SOLANO ST",
"city": "CORNING",
"state": "CA",
"postal_code": "960213352",
"telephone_number": "661-665-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARY",
"first_name": "ABHISHEK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-20",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS103389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FNU",
"last_name": "ABHISHEK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Corning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.