Organization Active NPI

Chougule Dental Care LLC

  • General Practice Dentistry
  • Fort Mill, SC
National Provider Identifier
1982175170
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHOUGULE DENTAL CARE LLC
Practice address
1741 Gold Hill Rd
Fort Mill, SC 29708-8202
Phone
(201) 675-7256
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Priya P Chougule, DMDNPI 1619175957
Title
Owner/Dentist
Phone
(201) 675-7256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1741 Gold Hill Rd
Fort Mill, SC 29708-8202

Mailing address

1741 Gold Hill Rd
Fort Mill, SC 29708-8202
Phone (201) 675-7256

Other names 1

  • Southlake Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1741 Gold Hill Rd
Fort Mill, SC 29708
Phone (201) 675-7256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1982175170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 GOLD HILL RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088202",
            "telephone_number": "201-675-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 GOLD HILL RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088202",
            "telephone_number": "201-675-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOUGULE DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "CHOUGULE",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "201-675-7256",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.