Active NPI
Chitra Nag Shikaram, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1982874673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49039
- Practice address
- 1333 Meridian Avenue
San Jose, CA 95125 - Phone
- (408) 445-3400
- Fax
- (408) 269-1952
- NPI assigned
- Mar 10, 2008
- 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 | 49039 | CA | Primary |
Addresses
Primary practice location
1333 Meridian Avenue
San Jose, CA 95125
Mailing address
1333 Meridian Avenue
San Jose, CA 95125
Phone (408) 445-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150310001940 | CA | Order and Referring Only - Oral Surgery | 5597081570 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49039 | CA | MD | Dentist |
Interoperability endpoints
- cshikiaram582705@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1982874673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 MERIDIAN AVENUE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95125",
"telephone_number": "408-445-3400",
"fax_number": "408-269-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 MERIDIAN AVENUE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95125",
"telephone_number": "408-445-3400",
"fax_number": "408-269-1952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIKARAM",
"first_name": "CHITRA",
"middle_name": "NAG",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.