Individual provider Active NPI

Chandrika N Bhut, DDS

  • General Practice Dentistry
  • Germantown, MD
National Provider Identifier
1528253606
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12778 Issued in MD
Practice address
19785 Crystal Rock Dr Ste 302
Germantown, MD 20874-4732
Phone
(301) 515-5955
Fax
(301) 515-5957
NPI assigned
Sep 11, 2007
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 12778 MD Primary

Addresses

Primary practice location

19785 Crystal Rock Dr Ste 302
Germantown, MD 20874-4732

Mailing address

19785 Crystal Rock Dr Ste 302
Germantown, MD 20874-4732
Phone (301) 515-5955

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Dental Care LLC Current Accepting new patients
Smile Dental Care LLC General Practice CurrentSince Jan 14, 2024 Accepting new patients
Ez Dental Care LLC PastSince Oct 25, 2020 Accepting new patients

Locations

19785 Crystal Rock Dr
Ste 302
Germantown, MD 20874
Phone (301) 515-5955

775 Hungerford Dr
Rockville, MD 20850
Phone (301) 545-1666

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1528253606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DR STE 302",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744732",
            "telephone_number": "301-515-5955",
            "fax_number": "301-515-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 CRYSTAL ROCK DR STE 302",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744732",
            "telephone_number": "301-515-5955",
            "fax_number": "301-515-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUT",
        "first_name": "CHANDRIKA",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.