✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (1223G0001X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MANPREET K CHAHAL, D.M.D. (NPI #1619190774)

Dentist, General Practice • FOWLERVILLE, MI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1619190774
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223G0001X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
175 W. VAN RIPER RD., BOX 978, FOWLERVILLE, MI, 48836
Official NPPES Practice Location
Practice Phone & Referral Fax
Fax: (517) 223-0452
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619190774 (MANPREET K CHAHAL, D.M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1619190774 (NPI-1 Individual Practitioner)
Provider / Legal NameMANPREET K CHAHAL, D.M.D.
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 1223G0001X (Dentist, General Practice)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address175 W. VAN RIPER RD., BOX 978, FOWLERVILLE, MI, 48836
Practice Telephone / FaxTel: (517) 223-3779 | Fax: (517) 223-0452
Administrative Mailing Address175 W. VAN RIPER RD., FOWLERVILLE, MI, 48836
Enumeration & Last SyncEnumerated: 2007-04-10 | CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

175 W. VAN RIPER RD., BOX 978, FOWLERVILLE, MI, 48836

🗺️ Open in Google Maps 🏥 More Providers in FOWLERVILLE

Plain-English Taxonomy & CMS Crosswalk (1223G0001X)

What Does Taxonomy Code 1223G0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223G0001X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MANPREET K CHAHAL, D.M.D.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
  • Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
Common Therapeutic Classes:
  • Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
  • Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
1223G0001X — Dentist, General Practice
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: MI | License: 2901018390 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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