Active NPI
Chaitali Madhusudan Thakker, DDS
- Dentist
- Chambersburg, PA
National Provider Identifier
1215451059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041451
- Practice address
- 767 5TH Ave Ste B3-a
Chambersburg, PA 17201-4207 - Phone
- (717) 709-7940
- NPI assigned
- Aug 2, 2017
- Last updated
- Mar 8, 2022
- 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 | DS041451 | PA | Primary |
Addresses
Primary practice location
767 5TH Ave Ste B3-a
Chambersburg, PA 17201-4207
Mailing address
301 Chestnut St Apt 2410
Harrisburg, PA 17101-2760
Other practice location 1
310 N Lancaster St
Jonestown, PA 17038-8909
Phone (717) 865-5211
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180919001190 | PA | Order and Referring Only - Dentist | 9638420326 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041451 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1215451059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CHESTNUT ST APT 2410",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 5TH AVE STE B3-A",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014207",
"telephone_number": "717-709-7940"
}
],
"practiceLocations": [
{
"address_1": "310 N Lancaster St",
"address_purpose": "LOCATION",
"city": "Jonestown",
"state": "PA",
"postal_code": "170388909",
"country_code": "US",
"telephone_number": "717-865-5211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAKKER",
"first_name": "CHAITALI",
"middle_name": "MADHUSUDAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
- Barbara Lynn Taylor, CRNP
- Morghan Taylor, COTA/L
- Keval Parth Tejani
- Ann Marie Prebish Telemeco, PT
- Regina Thaddeus, DO
- Thane Toe Thane, M.D.
- The Butterfly Therapy Studio, LLC
- The Chambersburg Hospital (WellSpan Chambersburg Hospital)
- The Chambersburg Hospital (WellSpan Chambersburg Hospital)
- The Chambersburg Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.