1. Home
  2. Directory
  3. Michigan
  4. Warren
  5. Dentist
  6. NPI Profile

CHANDRAVADAN PANCHOLI DDS
NPI 1639127384
Dentist in Warren, MI

Active since May 05, 2006PECOS Enrolled
29753 HOOVER RD, B, WARREN, MI 48093(586) 573-0011 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chandravadan Pancholi Dds NPPES

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

CHANDRAVADAN PANCHOLI DDS (NPI 1639127384) is an individual dentist in Warren, Michigan, licensed in Michigan (2901016165) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639127384
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCHANDRAVADAN PANCHOLICredential: DDS
Location Address29753 HOOVER RD, BWarren, MI 48093-8900
Mailing Address29753 Hoover Rd, BWarren, MI 48093-8900 · (586) 573-0011
Phone(586) 573-0011
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateApril 15, 2010
✔ NPI 1639127384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901016165
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.
29753 HOOVER RD, Warren, MI 48093
Open in Google Maps ↗

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)

Chandravadan Pancholi Dds 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 48093 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 7

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

CATARACT AND EYE CONSULTANTS OF MI PC
Ophthalmology
29753 HOOVER RD, SUITE A
WARREN, MI 48093
Macomb County (586) 573-4333
DR. ADREA R BENKOFF M.D.
Ophthalmology
29753 HOOVER RD, STE A
WARREN, MI 48093
Macomb County (586) 573-4333
DR. ALAN C PARENT M.D.
Ophthalmology
29753 HOOVER RD, STE A
WARREN, MI 48093
Macomb County (586) 573-4333
DR. MARILYNN SULTANA-GALLICK M.D.
Ophthalmology
29753 HOOVER RD, STE A
WARREN, MI 48093
Macomb County (586) 573-4333
GENTLE DENTAL WARREN PLLC
Dentist
29753 HOOVER RD
WARREN, MI 48093
Macomb County (586) 573-0011
DONALD B MUENK M.D.
Ophthalmology
29753 HOOVER RD, STE A
WARREN, MI 48093
Macomb County (586) 573-4333
DR. SARAH B MUENK-GOLD M.D.
Ophthalmology
29753 HOOVER RD, SUITE A
WARREN, MI 48093
Macomb County (586) 573-4333

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 Chandravadan Pancholi's NPI number?

The NPI number for Chandravadan Pancholi is 1639127384. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Chandravadan Pancholi located?

Chandravadan Pancholi practices at 29753 Hoover Rd B, Warren, MI 48093. The listed phone number is (586) 573-0011.

What is Chandravadan Pancholi's specialty?

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

Is Chandravadan Pancholi enrolled in Medicare?

Yes. Chandravadan Pancholi is registered in the Medicare PECOS enrollment system.

What insurance does Chandravadan Pancholi accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Chandravadan Pancholi 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 Chandravadan Pancholi was last updated on April 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.