Individual provider Active NPI

Chantal T Tshikaya, D.D.S

  • Dentist
  • Silver Spring, MD
National Provider Identifier
1417349994
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15739 Issued in MD
Practice address
1299 Lamberton Dr Ste B
Silver Spring, MD 20902-3411
Phone
(301) 649-1361
Fax
(301) 649-3221
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001470 DC
Dentist 122300000X 15739 MD Primary

Addresses

Primary practice location

1299 Lamberton Dr Ste B
Silver Spring, MD 20902-3411

Mailing address

1299 Lamberton Dr Ste B
Silver Spring, MD 20902-3411
Phone (301) 649-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20161107001888 MD Order and Referring Only - DentistPractitioner - Dentist 6901185396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15739MDMDClinical Social Worker
1001470DCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Assisted Care Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1417349994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 LAMBERTON DR STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023411",
            "telephone_number": "301-649-1361",
            "fax_number": "301-649-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 LAMBERTON DR STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023411",
            "telephone_number": "301-649-1361",
            "fax_number": "301-649-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSHIKAYA",
        "first_name": "CHANTAL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "1001470",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.