Nisha Bhayani, DMD
Individual provider Active NPI Dentist · Camby, IN
NPI 1053608273 · NPPES record last updated Jun 4, 2014
Key facts
- NPI
- 1053608273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12011705A (IN)
- Practice address
- 8190 Windfall LN Ste a
Camby, IN 46113-7907 - Phone
- (317) 821-0400
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011705A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Indiana, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011705A | IN | Yes |
Addresses
Primary practice location
8190 Windfall LN Ste a
Camby, IN 46113-7907
Mailing address
8190 Windfall LN Ste a
Camby, IN 46113-7907
Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.