Individual provider Active NPI

Rachna Bakshi, DDS

  • General Practice Dentistry
  • Sewickley, PA
National Provider Identifier
1063818706
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040163 Issued in PA
Practice address
2415 Nicholson Rd
Sewickley, PA 15143-8508
Phone
(412) 364-5252
Fax
(412) 366-5874
NPI assigned
Nov 7, 2014
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040163 PA Primary

Addresses

Primary practice location

2415 Nicholson Rd
Sewickley, PA 15143-8508

Mailing address

2415 Nicholson Rd
Sewickley, PA 15143-8508
Phone (612) 598-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150515001399 PA Order and Referring Only - DentistPractitioner - Dentist 9638499528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040163PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Park Dental CurrentSince Dec 5, 2021 Accepting new patients
Health and Dental Center of Franklin Park, LLC PastSince Dec 5, 2021 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": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1063818706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NICHOLSON RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438508",
            "telephone_number": "612-598-6811",
            "fax_number": "412-366-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NICHOLSON RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438508",
            "telephone_number": "412-364-5252",
            "fax_number": "412-366-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSHI",
        "first_name": "RACHNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.