Individual provider Active NPI

Vimal Chheda, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1205861473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22802 Issued in TX
Practice address
8191 Southwest Fwy
Suite 111
Houston, TX 77074-1709
Phone
(713) 988-3778
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22802 TX Primary

Addresses

Primary practice location

8191 Southwest Fwy
Suite 111
Houston, TX 77074-1709

Mailing address

8191 Southwest Fwy
Suite 111
Houston, TX 77074-1709
Phone (713) 988-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151229000152 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638470164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22802TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205861473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 SOUTHWEST FWY",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741709",
            "telephone_number": "713-988-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 SOUTHWEST FWY",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741709",
            "telephone_number": "713-988-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHEDA",
        "first_name": "VIMAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.