Individual provider Active NPI

Chandandeep Singh Wilkhu, DMD

  • General Practice Dentistry
  • Merritt Island, FL
National Provider Identifier
1770649501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16498 Issued in FL
Practice address
231 McLeod St
Merritt Island, FL 32953-3463
Phone
(321) 459-2444
Fax
(321) 453-8508
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16498 FL Primary

Addresses

Primary practice location

231 McLeod St
Merritt Island, FL 32953-3463

Mailing address

231 McLeod St
Merritt Island, FL 32953-3463
Phone (321) 459-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16498FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770649501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533463",
            "telephone_number": "321-459-2444",
            "fax_number": "321-453-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533463",
            "telephone_number": "321-459-2444",
            "fax_number": "321-453-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKHU",
        "first_name": "CHANDANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.