Active NPI
Kanwal Jit Chawla, DDS, FAGD
- General Practice Dentistry
- Oviedo, FL
National Provider Identifier
1922175181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17415
- Practice address
- 258 Plaza Dr
Oviedo, FL 32765-6414 - Phone
- (407) 365-3513
- Fax
- (407) 365-7747
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 17415 | FL | |
| Dentist | 122300000X | 2901017575 | MI | |
| General Practice Dentistry | 1223G0001X | 17415 | FL | Primary |
Addresses
Primary practice location
258 Plaza Dr
Oviedo, FL 32765-6414
Mailing address
258 Plaza Dr
Oviedo, FL 32765-6414
Phone (407) 365-3513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593799 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dr.chawla@bfdentaloviedo.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| DN 17415 | FL | MD | Dentist |
| 2901017575 | MI | MD | Dentist |
| 17415 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1922175181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 PLAZA DR",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656414",
"telephone_number": "407-365-3513",
"fax_number": "407-365-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 PLAZA DR",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327656414",
"telephone_number": "407-365-3513",
"fax_number": "407-365-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAWLA",
"first_name": "KANWAL",
"middle_name": "JIT",
"name_prefix": "Dr.",
"credential": "DDS, FAGD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 17415",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901017575",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "17415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "593799",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dr.chawla@bfdentaloviedo.com",
"affiliation": "N",
"endpointDescription": "Doctor's email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "258 Plaza Dr",
"city": "Oviedo",
"state": "FL",
"country_code": "US",
"postal_code": "327656414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.