Individual provider Active NPI

Alpana Tina Chandra, DDS

  • General Practice Dentistry
  • Ocala, FL
National Provider Identifier
1174669485
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0014503 Issued in FL
Practice address
1920 SW 20TH PL
Suite 202
Ocala, FL 34474-7170
Phone
(352) 861-1500
Fax
(352) 861-1507
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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 DN0014503 FL Primary

Addresses

Primary practice location

1920 SW 20TH PL
Suite 202
Ocala, FL 34474-7170

Mailing address

1920 SW 20TH PL
Suite 202
Ocala, FL 34474-7170
Phone (352) 861-1500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0014503FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Pearl Dentistry of Sarasota, PA Current Accepting new patients
The Pearl Dentistry of Ocala, PA Current Accepting new patients
A. Tina Chandra, D.D.S., P.a. Current Accepting new patients

Locations

1920 SW 20th Pl
Ste 202
Ocala, FL 34471
Phone (352) 694-4503

Organizations & group practices 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1174669485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SW 20TH PL",
            "address_2": "SUITE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747170",
            "telephone_number": "352-861-1500",
            "fax_number": "352-861-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SW 20TH PL",
            "address_2": "SUITE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747170",
            "telephone_number": "352-861-1500",
            "fax_number": "352-861-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "ALPANA",
        "middle_name": "TINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.