Individual provider Active NPI

Bina Joshi, DDS

  • Dentist
  • Fremont, CA
National Provider Identifier
1043619646
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63934 Issued in CA
Practice address
43625 Mission Blvd Ste 202
Fremont, CA 94539-5854
Phone
(510) 573-6677
Fax
(510) 573-6672
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63934 CA Primary

Addresses

Primary practice location

43625 Mission Blvd Ste 202
Fremont, CA 94539-5854

Mailing address

43625 Mission Blvd Ste 202
Fremont, CA 94539-5854
Phone (510) 573-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160126002415 CA Order and Referring Only - DentistPractitioner - Dentist 9739482670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1043619646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43625 MISSION BLVD STE 202",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395854",
            "telephone_number": "510-573-6677",
            "fax_number": "510-573-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43625 MISSION BLVD STE 202",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395854",
            "telephone_number": "510-573-6677",
            "fax_number": "510-573-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "BINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.