Individual provider Active NPI

Hema Kishore Chapala, DDS

  • General Practice Dentistry
  • Desoto, TX
National Provider Identifier
1306130240
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26470 Issued in TX
Practice address
216 Dalton Dr
Desoto, TX 75115-4414
Phone
(972) 230-1100
NPI assigned
Jun 8, 2011
Last updated
Apr 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26470 TX Primary

Addresses

Primary practice location

216 Dalton Dr
Desoto, TX 75115-4414

Mailing address

817 Calcot Dr
Coppell, TX 75019-6610
Phone (917) 376-4408

Other identifiers 1

IdentifierTypeStateIssuer
298418904MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
26470TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amaze Smiles, PLLC General Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1306130240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CALCOT DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196610",
            "telephone_number": "917-376-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 DALTON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154414",
            "telephone_number": "972-230-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPALA",
        "first_name": "HEMA KISHORE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298418904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.