Chaitanya H Raval, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33709 Issued in TX

Practice address

1107 S Macarthur Blvd
Irving, TX 75060-3827

Phone

(630) 815-9633

NPI assigned

Jul 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crdental,PLLC

  • Dental Clinic/Center
  • Irving, TX
  • NPI 1801357637
  NPD Authorized official
• Arvind P Jain DMD

  • Dentist
  • Salisbury, MD
  • NPI 1851379945
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1619319662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603827",
            "telephone_number": "630-815-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603827",
            "telephone_number": "630-815-9633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218046928",
            "country_code": "US",
            "telephone_number": "410-546-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "CHAITANYA",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15487",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Rashiwala, RPH
• Roberta Scala Ratelle, APRN
• David Mays Rathkamp, D.O.
• Quynh K. Rathkamp, M.D.
• Hannah Rau, COTA
• Adriana Ravelo-Sena, RBT
• Dianesha Ray
• Rays of Healing Counseling Center
• Adeel Raza, MD
• Juliana Razo

• General Practice Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.