DR. SHRUTI CHANDNA DDS, MS
NPI 1417413139
Dentist - Pediatric Dentistry in Dothan, AL

Active since February 18, 2019PECOS Enrolled
5412 MONTGOMERY HWY STE 8, DOTHAN, AL 36303(334) 983-1730 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2020, Feb 18, 2019 (2 updates tracked since 2019).

About Dr. Shruti Chandna Dds, Ms NPPES

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

DR. SHRUTI CHANDNA DDS, MS (NPI 1417413139) is an individual pediatric dentistry provider in Dothan, Alabama, licensed in Alabama (D.007245-C1) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417413139
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SHRUTI CHANDNACredential: DDS, MS
Location Address5412 MONTGOMERY HWY STE 8Dothan, AL 36303-1657
Mailing Address1011 N University AveAnn Arbor, MI 48109-1078 · (601) 668-8412
Sole ProprietorYes
Enumeration DateFebruary 18, 2019
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
NPI 1417413139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in AL · D.007245-C1
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 1341 (OK)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2951000806 (MI)
5412 MONTGOMERY HWY STE 8, Dothan, AL 36303

Secondary Practice Locations 2

Location 11200 Childrens Ave # 8FOklahoma City, OK 73104-4637 · Phone (601) 668-8412
Location 21011 N University AveAnn Arbor, MI 48109-1078 · Phone (734) 764-1523

Other Identifiers 1

Other2951000806MI · Board Of Dentistry Dental Education Limited License

Accepted 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. Shruti Chandna Dds, Ms 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 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 5

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

Dentist (General Practice)
5412 MONTGOMERY HWY STE 8
DOTHAN, AL 36303
Dentist (Pediatric Dentistry)
5412 MONTGOMERY HWY STE 8
DOTHAN, AL 36303
Dentist (General Practice)
5412 MONTGOMERY HWY STE 8
DOTHAN, AL 36303
Optometrist
5412 MONTGOMERY HWY STE 8
DOTHAN, AL 36303
Dentist
5412 MONTGOMERY HWY STE 8
DOTHAN, AL 36303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417413139, enumerated as an "individual" on February 18, 2019.

The provider is located at 5412 MONTGOMERY HWY STE 8 DOTHAN, AL 36303 and the phone number is (334) 983-1730.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.