Individual provider Active NPI

Sushila Chahal, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1104082817
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
059058 Issued in NY
Practice address
1462 Flatbush Ave Unit C1
Brooklyn, NY 11210-2382
Phone
(718) 715-0727
Fax
(718) 715-0611
NPI assigned
Aug 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 059058 NY Primary

Addresses

Primary practice location

1462 Flatbush Ave Unit C1
Brooklyn, NY 11210-2382

Mailing address

1462 Flatbush Ave Unit C1
Brooklyn, NY 11210-2382
Phone (718) 715-0727

Other names 1

  • Sushila Rani Former name

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

LicenseStateTypeSpecialty
059058NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sushila Chahal DDS, PLLC General Practice CurrentSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1104082817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 FLATBUSH AVE UNIT C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102382",
            "telephone_number": "718-715-0727",
            "fax_number": "718-715-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 FLATBUSH AVE UNIT C1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102382",
            "telephone_number": "718-715-0727",
            "fax_number": "718-715-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "SUSHILA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSHILA",
            "last_name": "RANI",
            "credential": "B.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.