NPIMap

Organization Active NPI

Shilpa Chandiwal DDS, PLLC

  • Pediatric Dentistry
  • Sugar Land, TX
National Provider Identifier
1295084820
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
25305 Issued in TX
Legal business name
SHILPA CHANDIWAL DDS, PLLC
Practice address
167 Citadel Way Ste 100
Sugar Land, TX 77479-7162
Phone
(713) 955-2100
Fax
(713) 904-1806
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Shilpa Jain Chandiwal, DDSNPI 1558510255
Title
Owner
Phone
(713) 955-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 25305 TX Primary

Addresses

Primary practice location

167 Citadel Way Ste 100
Sugar Land, TX 77479-7162

Mailing address

167 Citadel Way Ste 100
Sugar Land, TX 77479-7162
Phone (713) 955-2100

Other practice location 1

5300 Ranch Point Dr Ste B
Katy, TX 77494-7355
Phone (713) 234-1002

Other identifiers 1

IdentifierTypeStateIssuer
218348510MedicaidTX

Other names 1

  • Healthy Teeth Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5300 Ranch Point Dr
Ste B
Katy, TX 77494
Phone (713) 234-1002

167 Citadel Way
Ste 100
Sugar Land, TX 77479
Phone (713) 955-2100

4907 Sandhill Dr
Ste E
Sugar Land, TX 77479
Phone (713) 955-2100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1295084820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CITADEL WAY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797162",
            "telephone_number": "713-955-2100",
            "fax_number": "713-904-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 CITADEL WAY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797162",
            "telephone_number": "713-955-2100",
            "fax_number": "713-904-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Ranch Point Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774947355",
            "country_code": "US",
            "telephone_number": "713-234-1002",
            "fax_number": "713-904-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHILPA CHANDIWAL DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "CHANDIWAL",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_middle_name": "JAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-955-2100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218348510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Teeth Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy Teeth Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.