Active NPI
Charandeep Kaur Virk
- Dentist
- Southington, CT
National Provider Identifier
1891147229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11660
- Practice address
- 53 Rochela Dr
Southington, CT 06489-4670 - Phone
- (917) 848-7311
- NPI assigned
- Jul 9, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 11660 | CT | Primary |
Addresses
Primary practice location
53 Rochela Dr
Southington, CT 06489-4670
Mailing address
53 Rochela Dr
Southington, CT 06489-4670
Phone (917) 848-7311
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468022400000",
"number": "1891147229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 ROCHELA DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064894670",
"telephone_number": "917-848-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 ROCHELA DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064894670",
"telephone_number": "917-848-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRK",
"first_name": "CHARANDEEP",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-09",
"last_updated": "2016-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "11660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.