Active NPI
Gursimran Kaur Bhangra
- Dentist
- Gainesville, VA
National Provider Identifier
1073000139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415905
- Practice address
- 8140 Stonewall Shops SQ
Gainesville, VA 20155-3891 - Phone
- (571) 298-8279
- NPI assigned
- Apr 15, 2018
- Last updated
- Apr 15, 2018
- Sex
- Female
- 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 | 0401415905 | VA | Primary |
Addresses
Primary practice location
8140 Stonewall Shops SQ
Gainesville, VA 20155-3891
Mailing address
42201 Dove Wing CT
Brambleton, VA 20148-8092
Phone (703) 585-5236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190116000081 | VA | Order and Referring Only - Dentist | 6406192277 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhangra Enterprises PLLC | Current | Accepting new patients | |
| Dentists of Gainesville, PC | Dentist | Past | 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.
-
- Dental Clinic/Center
- Leesburg, VA
- NPI 1427885789
-
- Dentist
- Gainesville, VA
- NPI 1023546611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523750400000",
"number": "1073000139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42201 DOVE WING CT",
"city": "BRAMBLETON",
"state": "VA",
"postal_code": "201488092",
"telephone_number": "703-585-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8140 STONEWALL SHOPS SQ",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553891",
"telephone_number": "571-298-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANGRA",
"first_name": "GURSIMRAN",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-15",
"last_updated": "2018-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
- Lorrie Beyerl, LPC, NCC
- Beyond the Couch, LLC
- BFG Gainesville Propco IV, LLC (Harper's Station of Gainesville)
- Mukesh D. Bhakta, D.P.M.
- Renuga Bhalla, LCSW
- Deepti Bhatia
- Priya Bhattarai
- Bibi Bhani Inhome Support LLC
- Bio-Medical Applications of Virginia, Inc. (Fresenius Medical Care Heritage Hunt)
- Mehari Birehane, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.