Shalini Chittamuri

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16365 Issued in MD

Practice address

15200 Shady Grove Rd Ste 340
Rockville, MD 20850-6230

Phone

(301) 330-4600

Fax

(301) 330-0558

NPI assigned

Apr 22, 2016

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shalini Chittamuri LLC

  • Dental Clinic/Center
  • Rockville, MD
  • NPI 1982280301
  NPD Authorized official
• Toussaint Crawford DDS LLC

  dba Fenton Family Dental

  • Dentist
  • Silver Spring, MD
  • NPI 1972949535
  NPD (past)

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1316391758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 340",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506230",
            "telephone_number": "301-330-4600",
            "fax_number": "301-330-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 340",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506230",
            "telephone_number": "301-330-4600",
            "fax_number": "301-330-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTAMURI",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040865",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16365",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Batorshikh Chinbat
• Mike Chinbayar
• Aishwarya Chinthakunta
• Noel Chisholm
• Nicole Chittams
• Debra Lei Chiu, DPT
• James Chiu, D.M.D.
• Cecelia Ann Chloe
• Mbunya Chlorine
• William E. Chmar, D.D.S.

• General Practice Dentistry in Rockville, MD
• Providers in Rockville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.