Individual provider Active NPI

Rita Bhat, DMD

  • Dentist
  • Mooresville, NC
National Provider Identifier
1013169440
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6122 Issued in NC
Practice address
134 Professional Park Dr Ste 100
Mooresville, NC 28117-5600
Phone
(704) 799-0377
Fax
(704) 799-0378
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6122 NC Primary

Addresses

Primary practice location

134 Professional Park Dr Ste 100
Mooresville, NC 28117-5600

Mailing address

134 Professional Park Dr Ste 100
Mooresville, NC 28117-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318001310 NC Order and Referring Only - DentistPractitioner - Dentist 1052618014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6122NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leighton M. Kennedy, DMD, PLLC PastSince Jan 17, 2022 Accepting new patients
Rita Bhat DMD PA Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1013169440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL PARK DR STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PROFESSIONAL PARK DR STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175600",
            "telephone_number": "704-799-0377",
            "fax_number": "704-799-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.