Individual provider Active NPI

Bhadresh Makani, D.D.S

  • Dentist
  • Chester Springs, PA
National Provider Identifier
1003220740
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040041 Issued in PA
Practice address
72 Pottstown Pike
Suite 103
Chester Springs, PA 19425-9564
Phone
(610) 458-5165
Fax
(610) 514-2828
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040041 PA Primary

Addresses

Primary practice location

72 Pottstown Pike
Suite 103
Chester Springs, PA 19425-9564

Mailing address

943 Meadowbrook Dr
Huntingdon Valley, PA 19006-6957
Phone (281) 602-9373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS040041PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Family Smiles PC Past Accepting new patients

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1003220740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 MEADOWBROOK DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066957",
            "telephone_number": "281-602-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 POTTSTOWN PIKE",
            "address_2": "SUITE 103",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259564",
            "telephone_number": "610-458-5165",
            "fax_number": "610-514-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKANI",
        "first_name": "BHADRESH",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.