Chinmaya Mishra, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN015759 Issued in GA

Practice address

805 Red Bud Rd NE
Calhoun, GA 30701-1968

Phone

(706) 625-8888

NPI assigned

Jul 17, 2018

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Somersmiles LLC

  dba Holly Springs Dental

  • Dental Clinic/Center
  • Woodstock, GA
  • NPI 1063194454
  NPD Authorized official
• Beautiful Smiles by Design

  • General Practice Dentistry
  • Calhoun, GA
  • NPI 1053801134
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1518443092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 VILLAGE GREEN WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093646",
            "telephone_number": "651-373-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011968",
            "telephone_number": "706-625-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Birmingham Rd Ste 507",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "GA",
            "postal_code": "300044418",
            "country_code": "US",
            "telephone_number": "678-352-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3414 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032714",
            "country_code": "US",
            "telephone_number": "718-630-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "CHINMAYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015759",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Hunter Meyer, M.D.
• Matt Allan Middleton, DC
• Amanda Kay Miles, PH. D., LBA, BCBA-D
• Sharon A. Miller, D.M.D.
• Audra Michelle Mills, LMT
• Julie L Mitchell, PT
• Modern Medical, LLC
• Mayur D Mody, M.D.
• Monyei Holdings Inc (FHS Pharmacy)
• Nikitia Yvette Moore-Floyd

• Dentist in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.