Individual provider Active NPI

Ashok N Chainani, B.D.S

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1669643474
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036727 Issued in NY
Practice address
253 Broad St
Staten Island, NY 10304-2042
Phone
(718) 720-0066
Fax
(718) 720-0002
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 036727 NY Primary

Addresses

Primary practice location

253 Broad St
Staten Island, NY 10304-2042

Mailing address

253 Broad St
Staten Island, NY 10304-2042
Phone (718) 720-0066

Other identifiers 1

IdentifierTypeStateIssuer
00842824MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160524001117 NY Order and Referring Only - DentistPractitioner - Dentist 7315236726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chainani Ashok Nanikram BDS,PC Past Accepting new patients

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1669643474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042042",
            "telephone_number": "718-720-0066",
            "fax_number": "718-720-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 BROAD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042042",
            "telephone_number": "718-720-0066",
            "fax_number": "718-720-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAINANI",
        "first_name": "ASHOK",
        "middle_name": "N",
        "credential": "B.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00842824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.