Individual provider Active NPI

Sharmeen Chaudhry, BDS

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1689952095
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
71-000226 Issued in OH
Practice address
305 West 12TH Avenue
Columbus, OH 43218-2353
Phone
(614) 292-1472
Fax
(614) 688-3553
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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 71-000226 OH Primary

Addresses

Primary practice location

305 West 12TH Avenue
Columbus, OH 43218-2353

Mailing address

305 W. 12TH Ave
Dental Faculty Practice
Columbus, OH 43218
Phone (614) 292-1472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141215001228 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800118274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71-000226OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1689952095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W. 12TH AVE",
            "address_2": "DENTAL FACULTY PRACTICE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43218",
            "telephone_number": "614-292-1472",
            "fax_number": "614-688-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WEST 12TH AVENUE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432182353",
            "telephone_number": "614-292-1472",
            "fax_number": "614-688-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "SHARMEEN",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "71-000226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.