NPIMap

Individual provider Active NPI

Dhruv S Chotalia, DMD

  • General Practice Dentistry
  • Apo Ap, PA
National Provider Identifier
1265172605
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401417938 Issued in VA
Practice address
8 Omrs/SGXD Unit 5022 (BLDG 409)
Kunsan Ab
Apo Ap, PA 96264-5022
Phone
(215) 421-0357
NPI assigned
Apr 1, 2022
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417938 VA Primary
Military Health Care Provider 171000000X NU

Addresses

Primary practice location

8 Omrs/SGXD Unit 5022 (BLDG 409)
Kunsan Ab
Apo Ap, PA 96264-5022

Mailing address

837 Wedgewood Dr
Lansdale, PA 19446-1836
Phone (215) 421-0357

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

LicenseStateTypeSpecialty
0401417938VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1265172605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 WEDGEWOOD DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461836",
            "telephone_number": "215-421-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 OMRS/SGXD UNIT 5022 (BLDG 409)",
            "address_2": "KUNSAN AB",
            "city": "APO AP",
            "state": "PA",
            "postal_code": "962645022",
            "telephone_number": "215-421-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOTALIA",
        "first_name": "DHRUV",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417938",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.