Active NPI
Chaitalee Ganatra
- Dentist
- Fall River, MA
National Provider Identifier
1376938258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1856923
- Practice address
- 45 Mariano S Bishop Blvd
Fall River, MA 02721-2346 - Phone
- (508) 674-6800
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856923 | MA | Primary |
Addresses
Primary practice location
45 Mariano S Bishop Blvd
Fall River, MA 02721-2346
Mailing address
350 N Clark St
6TH Floor
Chicago, IL 60654-4712
Phone (312) 274-4520
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856923 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Dental Care LLC | Current | Accepting new patients | |
| Dental Dreams LLC | Past | Accepting new patients |
Locations
80 Flat St
Ste 101
Brattleboro, VT 05301
Phone (802) 254-6634
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Brattleboro, VT
- NPI 1235757121
-
- General Practice Dentistry
- Fall River, MA
- NPI 1508020439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1376938258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N CLARK ST",
"address_2": "6TH FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544712",
"telephone_number": "312-274-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 MARIANO S BISHOP BLVD",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027212346",
"telephone_number": "508-674-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANATRA",
"first_name": "CHAITALEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.