Individual provider Active NPI

Geeta Chahal, DDS

  • Dentist
  • Modesto, CA
National Provider Identifier
1609598259
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107994 Issued in CA
Practice address
2217 Coffee Rd Ste a
Modesto, CA 95355-2307
Phone
(209) 521-3400
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107994 CA Primary

Addresses

Primary practice location

2217 Coffee Rd Ste a
Modesto, CA 95355-2307

Mailing address

3100 Fleur de Lis Dr
Modesto, CA 95356-9300
Phone (209) 648-7393

Other practice location 1

1520 Fulkerth Rd
Turlock, CA 95380-6884
Phone (209) 634-8800

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
S. S. Chahal Dental Corporation Dentist Past Accepting new patients
Chahal Dental Corporation PastSince Sep 20, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1609598259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 FLEUR DE LIS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569300",
            "telephone_number": "209-648-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 COFFEE RD STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552307",
            "telephone_number": "209-521-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Fulkerth Rd",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953806884",
            "country_code": "US",
            "telephone_number": "209-634-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "GEETA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.