Active NPI
Obik Chowdhury
- Dentist
- Visalia, CA
National Provider Identifier
1669960217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS104090
- Practice address
- 401 E School Ave
Visalia, CA 93291-5032 - Phone
- (877) 960-3426
- Fax
- (559) 734-1247
- NPI assigned
- Apr 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS104090 | CA | Primary |
Addresses
Primary practice location
401 E School Ave
Visalia, CA 93291-5032
Mailing address
305 E Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS104090 | CA | MD | Dentist |
Interoperability endpoints
- obik.chowdhury.1@17661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1669960217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "559-737-4700",
"fax_number": "559-734-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E SCHOOL AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915032",
"telephone_number": "877-960-3426",
"fax_number": "559-734-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOWDHURY",
"first_name": "OBIK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-30",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS104090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.