Individual provider Active NPI

Binita Changkakoty, DDS

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1710325378
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC9705 Issued in NC
Practice address
160 D-1 Concord Commons Place
Concord, NC 28027
Phone
(908) 906-5705
Fax
(252) 744-2827
NPI assigned
Jun 5, 2013
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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 NC9705 NC Primary

Addresses

Primary practice location

160 D-1 Concord Commons Place
Concord, NC 28027

Mailing address

160 D-1 Concord Commons Place
Concord, NC 28027
Phone (908) 906-5705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 5, 2016 through May 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NC9705NCMDGeneral Practice Dentistry
09705NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Binita Changkakoty, DDS, PLLC General Practice Current Accepting new patients
Wilkes Dental Consortium General Practice PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1710325378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 D-1 CONCORD COMMONS PLACE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "908-906-5705",
            "fax_number": "252-744-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 D-1 CONCORD COMMONS PLACE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "908-906-5705",
            "fax_number": "252-744-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGKAKOTY",
        "first_name": "BINITA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC9705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.