Individual provider Active NPI

Tinnysha A Chopra, DDS

  • General Practice Dentistry
  • Old Saybrook, CT
National Provider Identifier
1528408754
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11237 Issued in CT
Practice address
263 Main St
2ND Floor
Old Saybrook, CT 06475-2326
Phone
(860) 388-4433
NPI assigned
Jul 2, 2013
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 11237 CT Primary

Addresses

Primary practice location

263 Main St
2ND Floor
Old Saybrook, CT 06475-2326

Mailing address

263 Main St
2ND Floor
Old Saybrook, CT 06475-2326
Phone (860) 388-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160412001296 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567760382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc. 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, 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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1528408754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752326",
            "telephone_number": "860-388-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752326",
            "telephone_number": "860-388-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "TINNYSHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.