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DR. SUMIT CHANANA D.M.D.
NPI 1396090734
Dentist in Manitowoc, WI

Active since July 23, 2012PECOS Enrolled
4125 HARBOR TOWN LN, MANITOWOC, WI 54220(920) 686-3800 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Sumit Chanana D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUMIT CHANANA D.M.D. (NPI 1396090734) is an individual dentist in Manitowoc, Wisconsin, licensed in Wisconsin (6964-15) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396090734
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SUMIT CHANANACredential: D.M.D.
Location Address4125 HARBOR TOWN LNManitowoc, WI 54220-5855
Mailing Address35 Northampton St, Apt # 1503Boston, MA 02118-4014 · (205) 586-9233
Phone(920) 686-3800
Sole ProprietorNo
Enumeration DateJuly 23, 2012
✔ NPI 1396090734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6964-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4125 HARBOR TOWN LN, Manitowoc, WI 54220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sumit Chanana D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUNYA SRIKANTH DMD
Dentist (General Practice)
4125 HARBOR TOWN LN
MANITOWOC, WI 54220
Manitowoc County (920) 686-3800
TANU KHURANA
Dentist
4125 HARBOR TOWN LN
MANITOWOC, WI 54220
Manitowoc County (920) 686-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumit Chanana's NPI number?

The NPI number for Sumit Chanana is 1396090734. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Sumit Chanana located?

Sumit Chanana practices at 4125 Harbor Town Ln, Manitowoc, WI 54220. The listed phone number is (920) 686-3800.

What is Sumit Chanana's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sumit Chanana enrolled in Medicare?

Yes. Sumit Chanana is registered in the Medicare PECOS enrollment system.

What insurance does Sumit Chanana accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian and 4 other insurers list Sumit Chanana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sumit Chanana was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.