NPIMap

Individual provider Active NPI

Mihirgir Bava, DMD

  • Dentist
  • Raleigh, NC
National Provider Identifier
1124424593
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11630 Issued in NC
Practice address
4905 Green Rd Ste 111
Raleigh, NC 27616-2805
Phone
(919) 872-1700
NPI assigned
Nov 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11630 NC Primary

Addresses

Primary practice location

4905 Green Rd Ste 111
Raleigh, NC 27616-2805

Mailing address

4905 Green Rd Ste 111
Raleigh, NC 27616-2805
Phone (919) 872-1700

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mihirgir Bava DMD PLLC Current Accepting new patients
Thomas E. Cooke, D.D.S. PastSince Jan 15, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1124424593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 GREEN RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162805",
            "telephone_number": "919-872-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 GREEN RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162805",
            "telephone_number": "919-872-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVA",
        "first_name": "MIHIRGIR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; 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.