Active NPI
Ali Chowdhury, DDS
- General Practice Dentistry
- Round Rock, TX
National Provider Identifier
1730601154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33130
- Practice address
- 325 University Blvd
Round Rock, TX 78665-1045 - Phone
- (512) 238-1154
- Fax
- (512) 238-1154
- NPI assigned
- Jul 7, 2017
- Last updated
- Jul 7, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33130 | TX | Primary |
Addresses
Primary practice location
325 University Blvd
Round Rock, TX 78665-1045
Mailing address
3701 Quick Hill Rd Apt 17105
Austin, TX 78728-1305
Phone (417) 621-8772
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026000369 | TX | Order and Referring Only - Dentist | 9931475506 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Rock Dentists, PC | Past | Accepting new patients |
Organizations & group practices 1
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": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1730601154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 QUICK HILL RD APT 17105",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787281305",
"telephone_number": "417-621-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651045",
"telephone_number": "512-238-1154",
"fax_number": "512-238-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOWDHURY",
"first_name": "ALI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.