Individual provider Active NPI

Natasha Chandhoke, DMD

  • Dentist
  • San Diego, CA
National Provider Identifier
1811324023
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63001 Issued in CA
Practice address
3900 Fifth Ave Ste 270
San Diego, CA 92103-3137
Phone
(619) 810-1864
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63001 CA Primary

Addresses

Primary practice location

3900 Fifth Ave Ste 270
San Diego, CA 92103-3137

Mailing address

3900 Fifth Ave Ste 270
San Diego, CA 92103-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20151106001939 CA Order and Referring Only - DentistPractitioner - Dentist 8022328848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1811324023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FIFTH AVE STE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FIFTH AVE STE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033137",
            "telephone_number": "619-810-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDHOKE",
        "first_name": "NATASHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.