NPIMap

Organization Active NPI

Dr Shipra Chadda PC

  • Dentist
  • Hyde Park, MA
National Provider Identifier
1487080016
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855526 Issued in MA
Legal business name
DR SHIPRA CHADDA PC
Practice address
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone
(617) 361-6996
Fax
(617) 361-7295
NPI assigned
Sep 13, 2013
Last updated
Sep 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Dr. Shipra Chadda, DMDNPI 1558675348
Title
President
Phone
(617) 361-6996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN1855526 MA Primary

Addresses

Primary practice location

1234 Hyde Park Ave
Hyde Park, MA 02136-2819

Mailing address

1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone (617) 361-6996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1487080016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362819",
            "telephone_number": "617-361-6996",
            "fax_number": "617-361-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 HYDE PARK AVE",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362819",
            "telephone_number": "617-361-6996",
            "fax_number": "617-361-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHIPRA CHADDA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "CHADDA",
        "authorized_official_first_name": "SHIPRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-361-6996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.