Individual provider Active NPI

Harvinder S Chadda, B DS

  • Dentist
  • Port Orange, FL
National Provider Identifier
1396812939
Registry record updated Dec 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN9785 Issued in FL
Practice address
790 Dunlawton Ave
Suite F
Port Orange, FL 32127
Phone
(386) 767-5417
Fax
(386) 767-6611
NPI assigned
Nov 29, 2006
Last updated
Dec 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN9785 FL Primary

Addresses

Primary practice location

790 Dunlawton Ave
Suite F
Port Orange, FL 32127

Mailing address

790 Dunlawton Ave
Ste F
Port Orange, FL 32127-4222
Phone (386) 767-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170130002347 FL Order and Referring Only - DentistPractitioner - Dentist 0840572749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harvinder S Chadda, B.D.S.,P.a. Past Accepting new patients

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1396812939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 DUNLAWTON AVE",
            "address_2": "STE F",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274222",
            "telephone_number": "386-767-5417",
            "fax_number": "386-767-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 DUNLAWTON AVE",
            "address_2": "SUITE F",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-767-5417",
            "fax_number": "386-767-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDA",
        "first_name": "HARVINDER",
        "middle_name": "S",
        "credential": "B DS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.