Sanaa Bhimji, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019030972 Issued in IL

Practice address

5201 Washington Ave
Ste a
Mount Pleasant, WI 53406-4242

Phone

(888) 988-4066

Fax

(847) 496-4850

NPI assigned

Oct 20, 2016

Last updated

Nov 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Familia Dental Racine LLC

  dba Familia Dental

  • Dental Clinic/Center
  • Racine, WI
  • NPI 1962883926
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1083165351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E ALGONQUIN RD",
            "address_2": "SUITE 610",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734144",
            "telephone_number": "888-988-4066",
            "fax_number": "847-496-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WASHINGTON AVE",
            "address_2": "STE A",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064242",
            "telephone_number": "888-988-4066",
            "fax_number": "847-496-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIMJI",
        "first_name": "SANAA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Mary Berglund, D.C., LPC
• Alexandra Beris, M.D.
• Jonathan Robert Bernhardt, PHYSICAL THERAPIST
• Beta Diagnostic Labs LLC
• Beta One Health LLC
• Karla J Bidstrup, LCSW
• Diane L. Billmyer, P.A.
• Shana Blackman, DPT
• Allison Marie Blonski, MD
• Daniel Blonsky, PHARMD

• Dentist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.