Sanjeet R Chaudhary, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN015609 Issued in GA

Practice address

2155 Post Oak Tritt Road
Suite 500
Marietta, GA 30062

Phone

(770) 973-1738

Fax

(770) 971-9407

NPI assigned

Aug 10, 2009

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 1, 2016 through Mar 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Warren Oral & Maxillofacial Surgery Associates, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, NJ
  • NPI 1447548607
  NPD (past)
• Warren Oral & Maxillofacial Surgery Center, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Warren, NJ
  • NPI 1770749426
  NPD (past)

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1396977369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628609",
            "telephone_number": "770-973-1738",
            "fax_number": "770-971-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT ROAD",
            "address_2": "SUITE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "770-973-1738",
            "fax_number": "770-971-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "SANJEET",
        "middle_name": "R",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN015609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@cobboralsurgery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Marietta",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Georgia",
            "address_1": "2155 Post Oak Tritt Road",
            "address_2": "Suite 500",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debbi Chartash, PT
• Sophia Charyton
• Mark Alan Chastain, MD
• Sidney Chastang, MD
• Nikulkumar Rupabhai Chaudhari, M.D.
• Tia Lavarion Chay, DNP, PMHNP-BC
• Luckana Chaya, MD
• Rachel Darlene Check, DO
• Cristi Yvonne Cheek, D.M.D.
• Cheerful Habits LLC

• Oral and Maxillofacial Surgery (Dentist) in Marietta, GA
• Providers in Marietta, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.