Active NPI
Kaushal Mansinhbhai Chaudhari, DDS
- Dentist
- Austin, TX
National Provider Identifier
1497365704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105952
- Practice address
- 1612 E William Cannon Dr
Austin, TX 78744 - Phone
- (151) 264-0799
- NPI assigned
- Aug 3, 2020
- Last updated
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36277 | TX | |
| Dentist | 122300000X | 105952 | CA | Primary |
Addresses
Primary practice location
1612 E William Cannon Dr
Austin, TX 78744
Mailing address
725 N Burgan Ave
Clovis, CA 93611-6898
Phone (708) 265-3183
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105952 | CA | MD | Marriage & Family Therapist |
| 36277 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1497365704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 N BURGAN AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116898",
"telephone_number": "708-265-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 E WILLIAM CANNON DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78744",
"telephone_number": "151-264-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARI",
"first_name": "KAUSHAL",
"middle_name": "MANSINHBHAI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36277",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.