NPIMap

Organization Active NPI

Shachindrabahadur DDS PC

  • General Practice Dentistry
  • Cedar Rapids, IA
National Provider Identifier
1508169467
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8606 Issued in IA
Legal business name
SHACHINDRABAHADUR DDS PC
Practice address
2315 Edgewood Rd SW
Ste 160
Cedar Rapids, IA 52404-3392
Phone
(319) 390-1400
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Shachindra BahadurNPI 1730320110
Title
Owner
Phone
(319) 390-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8606 IA Primary

Addresses

Primary practice location

2315 Edgewood Rd SW
Ste 160
Cedar Rapids, IA 52404-3392

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

National Provider Directory

National Provider Directory

Locations

2315 Edgewood Rd SW
Unit 160
Cedar Rapids, IA 52404
Phone (319) 390-1400

Practitioners & affiliated clinicians

Practitioners 3

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1508169467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 EDGEWOOD RD SW",
            "address_2": "STE 160",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043392",
            "telephone_number": "319-390-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACHINDRABAHADUR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BAHADUR",
        "authorized_official_first_name": "SHACHINDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-390-1400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.