Active NPI
Abhi Dipakbhai Thakkar
- General Practice Dentistry
- Chowchilla, CA
National Provider Identifier
1851909121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105056
- Practice address
- 300 Prosperity Blvd
Chowchilla, CA 93610-8498 - Phone
- (559) 664-4000
- Fax
- (559) 675-5224
- NPI assigned
- Jul 22, 2020
- 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 | 105056 | CA | Primary |
Addresses
Primary practice location
300 Prosperity Blvd
Chowchilla, CA 93610-8498
Mailing address
300 Prosperity Blvd
Chowchilla, CA 93610-8498
Phone (559) 664-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105056 | Other | CA | DENTIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105056 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1851909121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PROSPERITY BLVD",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936108498",
"telephone_number": "559-664-4000",
"fax_number": "559-675-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PROSPERITY BLVD",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936108498",
"telephone_number": "559-664-4000",
"fax_number": "559-675-5224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "ABHI",
"middle_name": "DIPAKBHAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "105056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "105056",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chowchilla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.