Individual provider Active NPI

Smriti Bhatia, BDS

  • Periodontics
  • Newport Beach, CA
National Provider Identifier
1053076703
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS111178 Issued in CA
Practice address
400 Newport Center Dr Ste 205
Newport Beach, CA 92660-7659
Phone
(949) 644-0032
NPI assigned
Nov 7, 2021
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DDS111178 CA Primary
Periodontics 1223P0300X DE61231043 WA

Addresses

Primary practice location

400 Newport Center Dr Ste 205
Newport Beach, CA 92660-7659

Mailing address

6987 Seiser CT
Riverside, CA 92506-4935
Phone (510) 600-7920

Other practice location 1

220 Lilly Rd NE Ste A
Olympia, WA 98506-6101
Phone (360) 459-4800

Other names 1

  • Smriti Rajan Former name

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
DDS111178CAMDPeriodontist
DE61231043WAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Donald Turner, D.D.S., Inc. PastSince Apr 6, 2025 Accepting new patients
Jeffrey Chu, D.D.S., NB, Inc. PastSince Apr 6, 2025 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": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1053076703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6987 SEISER CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064935",
            "telephone_number": "510-600-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607659",
            "telephone_number": "949-644-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Lilly Rd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985066101",
            "country_code": "US",
            "telephone_number": "360-459-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "SMRITI",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS111178",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE61231043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SMRITI",
            "last_name": "RAJAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.