Sumit Chanana, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

6964-15 Issued in WI

Practice address

4125 Harbor Town LN
Manitowoc, WI 54220-5855

Phone

(920) 686-3800

NPI assigned

Jul 23, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1396090734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NORTHAMPTON ST",
            "address_2": "APT # 1503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184014",
            "telephone_number": "205-586-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 HARBOR TOWN LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205855",
            "telephone_number": "920-686-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANANA",
        "first_name": "SUMIT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6964-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Lynn Cayemberg, MPT
• Dionne M Centner
• Yvonne M Cerkas
• Kyung Ai Mireille Chae, M.D.
• Cheong Wai Chan, M.D.
• Yang Mee Chang, DNP
• Steven G Chilinski, MD
• Michal Chiu, MD
• Jessica L Chouinard, PT
• Chris J. Hansen, DDS, SC

• Dentist in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.