Individual provider Active NPI

Sagar Chadha

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1205418795
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600851 Issued in MI
Practice address
1011 N University Ave RM 208
Ann Arbor, MI 48109-1078
Phone
(734) 232-6048
NPI assigned
Apr 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600851 MI Primary

Addresses

Primary practice location

1011 N University Ave RM 208
Ann Arbor, MI 48109-1078

Mailing address

3471 Columbia Dr
Rochester Hills, MI 48307-4941
Phone (248) 872-4291

Other practice location 1

3471 Columbia Dr
Rochester Hills, MI 48307-4941
Phone (248) 872-4291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20230630002817 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133588676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1205418795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 COLUMBIA DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074941",
            "telephone_number": "248-872-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE RM 208",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091078",
            "telephone_number": "734-232-6048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3471 Columbia Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483074941",
            "country_code": "US",
            "telephone_number": "248-872-4291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "SAGAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-07-28",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.