Shachindra Bahadur, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08606 Issued in IA

Practice address

2315 Edgewood Rd SW Unit 160
Cedar Rapids, IA 52404-3391

Phone

(319) 390-1400

Fax

(319) 396-4171

NPI assigned

Mar 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

State licenses

Practice roles

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.

• Shachindrabahadur DDS PC

  • General Practice Dentistry
  • Cedar Rapids, IA
  • NPI 1508169467
  NPD (past) Authorized official

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1730320110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 EDGEWOOD RD SW UNIT 160",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043391",
            "telephone_number": "319-390-1400",
            "fax_number": "319-396-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADUR",
        "first_name": "SHACHINDRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank L Babcock, MD
• Julie Rae Baburek, ARNP
• Nicole Marie Baccam, ARNP
• Karinda Bacon, LMSW
• Sara Lynn Bagley, RN
• Deborah A Bailey, LMSW
• Debra Lynn Bailey, BA
• Kendra J Bailey, LMHC
• Molly M Bailey, DPT
• Elaine Baily

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.