Individual provider Active NPI

Pragya Chawla

  • Dentist
  • San Jose, CA
National Provider Identifier
1629556865
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102734 Issued in CA
Practice address
1600 Willow St
San Jose, CA 95125-5115
Phone
(669) 231-5595
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102734 CA Primary

Addresses

Primary practice location

1600 Willow St
San Jose, CA 95125-5115

Mailing address

1600 Willow St
San Jose, CA 95125-5115
Phone (669) 231-5595

Other practice location 1

1288 Scott Blvd
Santa Clara, CA 95050-4517
Phone (408) 807-4903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240130001950 CA Order and Referring Only - DentistPractitioner - Dentist 9638522360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102734CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Wehle DDS, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pchawla330466@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1629556865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255115",
            "telephone_number": "669-231-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WILLOW ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255115",
            "telephone_number": "669-231-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 Scott Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950504517",
            "country_code": "US",
            "telephone_number": "408-807-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "PRAGYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.