Paayal Bhakta, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN18987 Issued in FL

Practice address

23320 N State Road 235
Brooker, FL 32622-5266

Phone

(352) 485-1133

Fax

(352) 485-1961

NPI assigned

Jun 3, 2010

Last updated

Feb 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Alachua County Organization for Rural Needs, Inc.

  • Rural Health Clinic/Center
  • Brooker, FL
  • NPI 1487772216
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1033439823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23320 N STATE ROAD 235",
            "city": "BROOKER",
            "state": "FL",
            "postal_code": "326225266",
            "telephone_number": "352-485-1133",
            "fax_number": "352-485-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23320 N STATE ROAD 235",
            "city": "BROOKER",
            "state": "FL",
            "postal_code": "326225266",
            "telephone_number": "352-485-1133",
            "fax_number": "352-485-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "PAAYAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alachua County Organization for Rural Needs, Inc.
• Lawrence Walter Dupee
• Marc T Frazer, OTR/L
• Karolyn Godbey, ARNP
• Edward L. Herod
• Sally Martin, M.D.

• Dentist in Brooker, FL
• Providers in Brooker, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.