Individual provider Active NPI

Shipra Chadda, DMD

  • Dentist
  • Hyde Park, MA
National Provider Identifier
1558675348
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855526 Issued in MA
Practice address
1234 Hyde Park Ave Ste 103
Hyde Park, MA 02136-2819
Phone
(617) 361-6996
Fax
(617) 361-7295
NPI assigned
Aug 4, 2010
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN155526 MA
Dentist 122300000X DN1855526 MA Primary

Addresses

Primary practice location

1234 Hyde Park Ave Ste 103
Hyde Park, MA 02136-2819

Mailing address

1234 Hyde Park Ave Ste 103
Hyde Park, MA 02136-2819
Phone (617) 361-6996

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

LicenseStateTypeSpecialty
DN155526MAMDDentist
DN1855526MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chadda Dental P.C Dentist Past Accepting new patients

Organizations & group practices 2

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1558675348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 HYDE PARK AVE STE 103",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362819",
            "telephone_number": "617-361-6996",
            "fax_number": "617-361-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 HYDE PARK AVE STE 103",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362819",
            "telephone_number": "617-361-6996",
            "fax_number": "617-361-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDA",
        "first_name": "SHIPRA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN155526",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.