Organization Active NPI

Chandwani Dental LLC

  • Dentist
  • Flushing, NY
National Provider Identifier
1275923047
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHANDWANI DENTAL LLC
Practice address
6918 Kissena Blvd
Unit 125a
Flushing, NY 11367-1563
Phone
(203) 529-0855
Fax
(347) 494-4618
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Brijesh Chandwani
Title
Owner
Phone
(203) 529-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6918 Kissena Blvd
Unit 125a
Flushing, NY 11367-1563

Mailing address

6918 Kissena Blvd
Unit 125a
Flushing, NY 11367-1563
Phone (203) 529-0855

National Provider Directory

National Provider Directory

Locations

6918 Kissena Blvd
Unit 125A
Flushing, NY 11367
Phone (203) 529-0855

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1275923047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 KISSENA BLVD",
            "address_2": "UNIT 125A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671563",
            "telephone_number": "203-529-0855",
            "fax_number": "347-494-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 KISSENA BLVD",
            "address_2": "UNIT 125A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671563",
            "telephone_number": "203-529-0855",
            "fax_number": "347-494-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDWANI DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "CHANDWANI",
        "authorized_official_first_name": "BRIJESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-529-0855"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.