Active NPI
Kendra Chandhoke, D.M.D
- Pediatric Dentistry
- Newport Beach, CA
National Provider Identifier
1447619895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 102564
- Practice address
- 307 Placentia Ave Ste 202
Newport Beach, CA 92663 - Phone
- (949) 270-2100
- NPI assigned
- Feb 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00203104 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 102564 | CA | Primary |
Addresses
Primary practice location
307 Placentia Ave Ste 202
Newport Beach, CA 92663
Mailing address
307 Placentia Ave Ste 202
Newport Beach, CA 92663-3308
Phone (949) 270-2100
Other practice location 1
8990 Washington St
Thornton, CO 80229-4537
Phone (720) 929-1655
Other practice location 2
307 Placentia Ave Ste 202
Newport Beach, CA 92663
Phone (949) 270-2100
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 |
|---|---|---|---|
| DEN.00203104 | CO | MD | Dentist |
| 102564 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556409600000",
"number": "1447619895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 PLACENTIA AVE STE 202",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633308",
"telephone_number": "949-270-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 PLACENTIA AVE STE 202",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-270-2100"
}
],
"practiceLocations": [
{
"address_1": "8990 Washington St",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802294537",
"country_code": "US",
"telephone_number": "720-929-1655",
"fax_number": "720-206-0434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "307 Placentia Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "92663",
"country_code": "US",
"telephone_number": "949-270-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANDHOKE",
"first_name": "KENDRA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-14",
"last_updated": "2019-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00203104",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "102564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.