Sham Chandok

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3107-15 Issued in WI

Legal business name

SHAM CHANDOK

Practice address

5542 W Fond Du Lac Ave
Milwaukee, WI 53216-1200

Phone

(414) 464-1070

Fax

(414) 464-3797

NPI assigned

May 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sham S Chandok, DDS

Title

Dentist

Phone

(414) 378-7971

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Consumer Dental Associates Doing business as

Locations

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1235541236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161200",
            "telephone_number": "414-464-1070",
            "fax_number": "414-464-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161200",
            "telephone_number": "414-464-1070",
            "fax_number": "414-464-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAM CHANDOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-24",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "CHANDOK",
        "authorized_official_first_name": "SHAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "414-378-7971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3107-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER",
            "identifier": "1093974321",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER",
            "identifier": "1962569012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consumer Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Joseph Shallcross, MD
• Kathleen A Shallow, MD
• Natasha Rae Shallow, M.D.
• Shalom Health Center, SC
• Shalonda Booth
• Corey Justin Shamah, M.D.
• Laith Shaman, D.P.M
• Patricia Shamblin, RN, IBCLC
• Dania Ali Shami
• Dawn Shamkin, AGPCNP-C

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.