Active NPI
Krishna Bhakta
- Dentist
- Glendora, CA
National Provider Identifier
1073112900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113719
- Practice address
- 641 W Route 66 Ste E
Glendora, CA 91740-4153 - Phone
- (626) 346-0069
- NPI assigned
- Oct 21, 2020
- Reactivated
- Aug 21, 2026
- 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 | 113719 | CA | Primary |
Addresses
Primary practice location
641 W Route 66 Ste E
Glendora, CA 91740-4153
Mailing address
1533 Firestone Blvd
Los Angeles, CA 90001-3923
Phone (949) 833-2237
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1073112900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 FIRESTONE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900013923",
"telephone_number": "949-833-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 W ROUTE 66 STE E",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404153",
"telephone_number": "626-346-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "KRISHNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"deactivation_date": "2026-08-10",
"reactivation_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.