Active NPI
Neelima Chiniwalla, D.M.D., M.D.S.
- Pediatric Dentistry
- Cranberry TWP, PA
National Provider Identifier
1477542157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS020597L
- Practice address
- 501 Smith Dr
Suite 2
Cranberry TWP, PA 16066-4133 - Phone
- (724) 776-9033
- Fax
- (724) 776-9027
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS020597L | PA | Primary |
Addresses
Primary practice location
501 Smith Dr
Suite 2
Cranberry TWP, PA 16066-4133
Mailing address
160 Lingay Dr
Glenshaw, PA 15116-1039
Phone (724) 487-1252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005324870006 | Medicaid | PA |
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 |
|---|---|---|---|
| DS020597L | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1477542157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 LINGAY DR",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151161039",
"telephone_number": "724-487-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SMITH DR",
"address_2": "SUITE 2",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160664133",
"telephone_number": "724-776-9033",
"fax_number": "724-776-9027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINIWALLA",
"first_name": "NEELIMA",
"credential": "D.M.D., M.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS020597L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005324870006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.