Active NPI
Sheila Uttam Chaudhary, DDS
- Dentist
- Warren, MI
National Provider Identifier
1184701054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019447
- Practice address
- 11885 E 12 Mile Rd
Ste 303B
Warren, MI 48093-3474 - Phone
- (586) 574-9800
- Fax
- (586) 574-9430
- NPI assigned
- Oct 31, 2006
- Last updated
- Apr 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019447 | MI | Primary |
Addresses
Primary practice location
11885 E 12 Mile Rd
Ste 303B
Warren, MI 48093-3474
Mailing address
432 S Washington Ave
Unit 1602
Royal Oak, MI 48067-3854
Phone (614) 354-3999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019447 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1184701054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 S WASHINGTON AVE",
"address_2": "UNIT 1602",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673854",
"telephone_number": "614-354-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11885 E 12 MILE RD",
"address_2": "STE 303B",
"city": "WARREN",
"state": "MI",
"postal_code": "480933474",
"telephone_number": "586-574-9800",
"fax_number": "586-574-9430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARY",
"first_name": "SHEILA",
"middle_name": "UTTAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.