Individual provider Active NPI

Prachi Chandalia, DMD

  • Pediatric Dentistry
  • Alexandria, VA
National Provider Identifier
1609353499
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401416177 Issued in VA
Practice address
609 E Monroe Ave
Alexandria, VA 22301-3020
Phone
(703) 341-4418
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401416177 VA Primary

Addresses

Primary practice location

609 E Monroe Ave
Alexandria, VA 22301-3020

Mailing address

3299 K St NW Apt 702
Washington, DC 20007-4450
Phone (202) 322-3392

Other practice location 1

6303 Little River Tpke Ste 345
Alexandria, VA 22312-5101
Phone (703) 942-8404

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
0401416177VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Dental Studio, P.C. Pediatric Dentistry PastSince Oct 16, 2022 Accepting new patients
Alexandria Kids Dentistry PC Pediatric Dentistry Past Accepting new patients
Alexandria Children'S Dentistry, P.C. Pediatric Dentistry Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1609353499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 K ST NW APT 702",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074450",
            "telephone_number": "202-322-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E MONROE AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223013020",
            "telephone_number": "703-341-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6303 Little River Tpke Ste 345",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223125101",
            "country_code": "US",
            "telephone_number": "703-942-8404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDALIA",
        "first_name": "PRACHI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401416177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.