Gaetan Tchamba, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

101039 Issued in CA

Practice address

8211 Sierra College Blvd Ste 404
Roseville, CA 95661-9405

Phone

(916) 773-9300

NPI assigned

Nov 24, 2017

Last updated

Nov 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dentist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cares Community Health

  dba One Community Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1447297379
  Medicare reassignment
• Sheils Dental Care Inc

  • Customized Equipment (DME)
  • Roseville, CA
  • NPI 1245645506
  NPD (past)

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511481600000",
    "number": "1861906125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 SIERRA COLLEGE BLVD STE 404",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 SIERRA COLLEGE BLVD STE 404",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619405",
            "telephone_number": "916-773-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHAMBA",
        "first_name": "GAETAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-24",
        "last_updated": "2017-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Juliet Taylor
• Nichelle Taylor
• Robert S Taylor, M.D.
• Whitney Grace Taylor
• Farina Tayo, FNP
• Sara Tchobanoff, OTR
• Ashley Tedford, LCSW
• Carl Eric Tedrow
• Ozlem Tekelioglu
• Telcare Corporation (Telecare Placer County Psychiatric Health Facility)

• Dentist in Roseville, CA
• Providers in Roseville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.