Sekhar Chakka Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

47856 Issued in CA

Legal business name

SEKHAR CHAKKA DENTAL CORP

Doing business as

stadium dental and orthodontics

Practice address

11897 Foothill Blvd
Suite a
Rancho Cucamonga, CA 91730

Phone

(909) 476-9678

Fax

(909) 481-0040

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sekhar N Chakka, DDS

Title

Owner Dentist

Phone

(909) 476-9678

Specialties & licenses 1

Addresses

Other names 1

• stadium dental and orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Valenzuela, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
  • NPI 1861637720
  NPD (past)

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1093959207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11897 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-476-9678",
            "fax_number": "909-481-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11897 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-476-9678",
            "fax_number": "909-481-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEKHAR CHAKKA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "CHAKKA",
        "authorized_official_first_name": "SEKHAR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "909-476-9678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stadium dental and orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "stadium dental and orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Sefaboakye
• Deborah Seffinger, PHD
• Jerry Jacob Sefiane, MA
• Samantha Segura
• Taranbir Singh Sehgal
• Dalia Seleem, DDS
• Chelsea Sellers, LEP
• Rosalyn Sepulveda
• Joshua Jun Maurebi Sercado
• Serena Hsu DDS Ms a Professional Corporation

• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.