Individual provider Active NPI

Shayal Chand, DDS

  • Dentist
  • Sacramento, CA
National Provider Identifier
1801617303
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110628 Issued in CA
Practice address
Greenhaven Modern Dentistry 992 Florin Road
Sacramento, CA 95831
Phone
(916) 221-9970
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110628 CA Primary

Addresses

Primary practice location

Greenhaven Modern Dentistry 992 Florin Road
Sacramento, CA 95831

Mailing address

1500 Founders Point Dr
Modesto, CA 95356-9056
Phone (209) 214-5034

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmad Mokbil DDS Inc Dentist CurrentSince Oct 20, 2024 Accepting new patients

Locations

992 Florin Rd
Sacramento, CA 95831
Phone (916) 221-9970

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1801617303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FOUNDERS POINT DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569056",
            "telephone_number": "209-214-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREENHAVEN MODERN DENTISTRY 992 FLORIN ROAD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831",
            "telephone_number": "916-221-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAND",
        "first_name": "SHAYAL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.