Active NPI
Mustafa Bilal, DENTIST
- Dentist
- Anaheim, CA
National Provider Identifier
1053462515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52583
- Practice address
- 1210 S Brookhurst St
Anaheim, CA 92804-5419 - Phone
- (714) 535-7500
- Fax
- (714) 535-2354
- NPI assigned
- Jan 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52583 | CA | Primary |
Addresses
Primary practice location
1210 S Brookhurst St
Anaheim, CA 92804-5419
Mailing address
8695 E Silver Ridge LN
Anaheim, CA 92808-1654
Phone (714) 606-8395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52583 | Other | CA | DENTIST |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N Ozder Dental Practice Inc | Past | Accepting new patients | |
| West Coast Dental | Past | Accepting new patients |
Interoperability endpoints
- mbilal@direct.westerndental.com
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1235373291
-
- Dental Assistant
- Clovis, CA
- NPI 1801186556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053462515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8695 E SILVER RIDGE LN",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081654",
"telephone_number": "714-606-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S BROOKHURST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928045419",
"telephone_number": "714-535-7500",
"fax_number": "714-535-2354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILAL",
"first_name": "MUSTAFA",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "52583",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.