Individual provider Active NPI

Pavanjit Singh Chhabra, DDS

  • General Practice Dentistry
  • Hempstead, NY
National Provider Identifier
1487795365
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050584 Issued in NY
Practice address
400 Fulton Ave
Suite E
Hempstead, NY 11550-4147
Phone
(516) 505-5010
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050584 NY Primary

Addresses

Primary practice location

400 Fulton Ave
Suite E
Hempstead, NY 11550-4147

Mailing address

400 Fulton Ave
Suite E
Hempstead, NY 11550-4147
Phone (516) 505-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150612001977 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082925334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050584NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sehej Dental, LLC General Practice Past 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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1487795365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FULTON AVE",
            "address_2": "SUITE E",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504147",
            "telephone_number": "516-505-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FULTON AVE",
            "address_2": "SUITE E",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504147",
            "telephone_number": "516-505-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABRA",
        "first_name": "PAVANJIT",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.