Surjit Chahal DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43766 Issued in CA

Legal business name

SURJIT CHAHAL DDS, INC

Practice address

605 Standiford Ave
Suite G
Modesto, CA 95350-1000

Phone

(209) 522-6400

Fax

(209) 522-8761

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Surjit S Chahal, DDS

Title

Dentist

Phone

(209) 522-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comfort Dental Doing business as

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104035930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 STANDIFORD AVE",
            "address_2": "SUITE G",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501000",
            "telephone_number": "209-522-6400",
            "fax_number": "209-522-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 STANDIFORD AVE",
            "address_2": "SUITE G",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501000",
            "telephone_number": "209-522-6400",
            "fax_number": "209-522-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURJIT CHAHAL DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAHAL",
        "authorized_official_first_name": "SURJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-522-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92367-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia M Supar
• Super Care, LLC
• Supplmental Health Care
• Rajesh Supra
• Surgical Associates Inc
• Susan Ways PHD MD Inc.
• Kristy Ann Sutherland, RN
• Sutter Central Valley Hospitals
• Sutter Central Valley Hospitals
• Sutter Central Valley Hospitals

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.