Individual provider Active NPI

Rekha R Chaudhari, DDS

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1942595459
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011643A Issued in IN
Practice address
10409 E Washington St
Indianapolis, IN 46229-2633
Phone
(317) 399-5771
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29654 TX
Dentist 122300000X 12011643A IN Primary

Addresses

Primary practice location

10409 E Washington St
Indianapolis, IN 46229-2633

Mailing address

4930 Lafayette Rd
Indianapolis, IN 46254-1959
Phone (847) 894-0631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20160916000480 IN Order and Referring Only - DentistPractitioner - Dentist 6709172885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29654TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Dental Center West Dentist Past Accepting new patients
Urgent Dental Center Anderson LLC Dentist PastSince Dec 6, 2022 Accepting new patients
Urgent Dental Center South LLC Dentist Past Accepting new patients
Urgent Dental Center Frankfort LLC PastSince Feb 24, 2022 Accepting new patients
Urgent Dental Center Kokomo LLC PastSince Apr 20, 2025 Accepting new patients
Urgent Dental Center Terre Haute LLC PastSince Sep 20, 2022 Accepting new patients
Urgent Dental Center North LLC Past Accepting new patients
Urgent Dental Center Fort Wayne LLC PastSince Apr 27, 2025 Accepting new patients
Urgent Dental Center Avon LLC Dentist PastSince Nov 22, 2020 Accepting new patients
Urgent Dental Center Lafayette LLC PastSince Apr 16, 2023 Accepting new patients

Organizations & group practices 10

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1942595459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541959",
            "telephone_number": "847-894-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292633",
            "telephone_number": "317-399-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "REKHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29654",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011643A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.