Individual provider Active NPI

Chilka Nangia, DDS

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1932540994
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7110 Issued in NE
Practice address
2901 S 84TH St Ste 12
Lincoln, NE 68506-4287
Phone
(402) 261-1135
NPI assigned
Jul 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7110 NE Primary

Addresses

Primary practice location

2901 S 84TH St Ste 12
Lincoln, NE 68506-4287

Mailing address

2901 S 84TH St Ste 12
Lincoln, NE 68506-4287
Phone (402) 261-1135

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

LicenseStateTypeSpecialty
7110NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Koentjoro Dentistry Lincoln LLC General Practice PastSince Jun 27, 2021 Accepting new patients

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": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1932540994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S 84TH ST STE 12",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064287",
            "telephone_number": "402-261-1135",
            "fax_number": "402-512-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S 84TH ST STE 12",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064287",
            "telephone_number": "402-261-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANGIA",
        "first_name": "CHILKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-07",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.