Individual provider Active NPI

Priyanka Chandrasen Dand, DDS

  • Dentist
  • Summerfield, NC
National Provider Identifier
1326539230
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13587 Issued in NC
Practice address
1009 NC-150
Summerfield, NC 27358
Phone
(336) 728-6153
NPI assigned
May 25, 2018
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857922 MA
Dentist 122300000X DS042889 PA
Dentist 122300000X 13587 NC Primary

Addresses

Primary practice location

1009 NC-150
Summerfield, NC 27358

Mailing address

1009 NC-150, Summerfield
Summerfield, NC 27358

Other practice location 1

339 Squire Rd # 150
Revere, MA 02151
Phone (310) 941-0390

Other practice location 2

20 Dandelion Ln
South Weymouth, MA 02190-1444
Phone (310) 941-0390

Other practice location 3

1201 County Line Rd Ste 201
Bryn Mawr, PA 19010-2636
Phone (310) 941-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807001003 MA Order and Referring Only - DentistPractitioner - Dentist 6709134810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042889PAMDDentist
13587NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1326539230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NC-150, SUMMERFIELD",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "27358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 NC-150",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "27358",
            "telephone_number": "336-728-6153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Squire Rd # 150",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "02151",
            "country_code": "US",
            "telephone_number": "310-941-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Dandelion Ln",
            "address_purpose": "LOCATION",
            "city": "South Weymouth",
            "state": "MA",
            "postal_code": "021901444",
            "country_code": "US",
            "telephone_number": "310-941-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 County Line Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190102636",
            "country_code": "US",
            "telephone_number": "310-941-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAND",
        "first_name": "PRIYANKA",
        "middle_name": "CHANDRASEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042889",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, NC

Sources for this page

Verify at the official NPI Registry.