A.R.Bhagwandass.DMD.PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5794 Issued in NC

Legal business name

A.R.BHAGWANDASS.DMD.PA

Practice address

50 Anna Louise LN
Roanoke Rapids, NC 27870-8648

Phone

(252) 537-4141

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anishwar R Bhagwandass, DMDNPI 1609975093

Title

President

Phone

(252) 537-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anishwar Rohanlal Bhagwandass, DMD

  • Dentist
  • Roanoke Rapids, NC
  • NPI 1609975093
  NPD (past) Authorized official

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1104012269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ANNA LOUISE LN",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708648",
            "telephone_number": "252-537-4141",
            "fax_number": "252-537-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ANNA LOUISE LN",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708648",
            "telephone_number": "252-537-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.R.BHAGWANDASS.DMD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "BHAGWANDASS",
        "authorized_official_first_name": "ANISHWAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-537-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990719",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.