Deveshi Chandan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041779 Issued in PA

Practice address

606 Erie St
Edinboro, PA 16412

Phone

(814) 734-4451

NPI assigned

Jun 27, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chandan Dental Associates

  • Dental Clinic/Center
  • Sandy Lake, PA
  • NPI 1427665751
  NPD Authorized official
• Pineo Family Dentistry LLC

  • General Practice Dentistry
  • Edinboro, PA
  • NPI 1457360018
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1164917696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 ERIE ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164126002",
            "telephone_number": "814-734-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 ERIE ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "16412",
            "telephone_number": "814-734-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3242 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sandy Lake",
            "state": "PA",
            "postal_code": "16145",
            "country_code": "US",
            "telephone_number": "724-376-7161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDAN",
        "first_name": "DEVESHI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Frances Bunner
• Michelle A Burgess, P.T.
• Jeffrey Caldwell
• Ryan R Carlisle, DPT
• Danielle M Cavalieri
• Marsha Sue Chase
• Christopher Conn
• Jill Connelly, RDN, LDN
• Reina I Cornejo
• Brett William Cornelius, PA-C

• Dentist in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.