Active NPI
Ghania N Chohan, DDS
- Dentist
- Manchester, CT
National Provider Identifier
1528661642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12963
- Practice address
- 483 Middle Tpke W Ste 309
Manchester, CT 06040-3865 - Phone
- (860) 985-2458
- NPI assigned
- Nov 19, 2020
- Last updated
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12963 | CT | Primary |
Addresses
Primary practice location
483 Middle Tpke W Ste 309
Manchester, CT 06040-3865
Mailing address
6 E Julius St
Iselin, NJ 08830-2603
Phone (732) 318-8436
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Abbas.mohammadi@columbiadental.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12963 | CT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Implant Center LLC | Multi-Specialty | Current | Accepting new patients |
Locations
483 Middle Tpke W
Ste 309
Manchester, CT 06040
Phone (860) 645-0111
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Manchester, CT
- NPI 1093502312
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1528661642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E JULIUS ST",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088302603",
"telephone_number": "732-318-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 MIDDLE TPKE W STE 309",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403865",
"telephone_number": "860-985-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOHAN",
"first_name": "GHANIA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "12963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Abbas.mohammadi@columbiadental.com",
"affiliation": "N",
"address_1": "483 Middle Tpke W Ste 309",
"city": "Manchester",
"state": "CT",
"country_code": "US",
"postal_code": "060403865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.