Shreya Paresh Chollera

Primary specialty

DentistTaxonomy code 122300000X

License

D011560 Issued in AZ

Practice address

808 N Mission Pkwy
Casa Grande, AZ 85194-8412

Phone

(520) 426-3639

NPI assigned

Apr 3, 2021

Sex

Female

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 TX

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

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.

• Gila River Health Care Corporation

  dba Komatke Health Center

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Gila River Health Care

  dba Thwajik Ke Outpatient Behavioral Health Services

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  dba AK-Chin Clinic

  • Rural Acute Care Hospital
  • Maricopa, AZ
  • NPI 1386633915
  NPD
• Gila River Health Care Corporation

  dba Red Tail Hawk Health Center

  • Critical Access Hospital
  • Chandler, AZ
  • NPI 1437664182
  NPD
• Promenade Smiles, LLP

  dba Promenade Smiles

  • General Practice Dentistry
  • Casa Grande, AZ
  • NPI 1437392248
  NPD (past)

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1679152177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S RECKER RD APT 2083",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961217",
            "telephone_number": "909-238-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N MISSION PKWY",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948412",
            "telephone_number": "520-426-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLLERA",
        "first_name": "SHREYA",
        "middle_name": "PARESH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011560",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Consulting by Donna, LLC.
• Chiro Health, LLC
• Chirohealth LLC
• Shingairai B Chiwara
• Daniel Myunghun Choi, MD
• Andrew Chun
• Daniel Chung, M.D.
• Cimmaron Ash Behavioral Healthcare
• Citrus Canyon Care
• City of Casa Grande (Casa Grande Fire Department)

• Dentist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.