Individual provider Active NPI

Shilpi Patel Chovatia, D.D.S.

  • Dentist
  • San Ramon, CA
National Provider Identifier
1851642672
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61781 Issued in CA
Practice address
525 Bollinger Canyon Way Ste 105
San Ramon, CA 94582-4935
Phone
(925) 735-3838
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 61781 CA Primary

Addresses

Primary practice location

525 Bollinger Canyon Way Ste 105
San Ramon, CA 94582-4935

Mailing address

844 Castlewood PL
Pleasanton, CA 94566-9718
Phone (510) 449-3955

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
I20150928001107 CA Order and Referring Only - DentistPractitioner - Dentist 3072821842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61781CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Lakes Dental PastSince Mar 9, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shpatel@direct.westerndental.com

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1851642672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 CASTLEWOOD PL",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945669718",
            "telephone_number": "510-449-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BOLLINGER CANYON WAY STE 105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824935",
            "telephone_number": "925-735-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOVATIA",
        "first_name": "SHILPI",
        "middle_name": "PATEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.