Active NPI
Rohit Batheja, DDS
- Endodontics
- Lakewood, CA
National Provider Identifier
1154598415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 53896
- Practice address
- 5555 Del Amo Blvd
Lakewood, CA 90713-2307 - Phone
- (562) 866-1735
- Fax
- (562) 866-8190
- NPI assigned
- May 14, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 53896 | CA | Primary |
Addresses
Primary practice location
5555 Del Amo Blvd
Lakewood, CA 90713-2307
Mailing address
5555 Del Amo Blvd
Lakewood, CA 90713-2307
Phone (562) 866-1735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20160812002021 | CA | Order and Referring Only - Other (Physician) | 2860786894 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53896 | CA | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rozekoria, Inc. | Past | Accepting new patients | |
| Robert Goodis DDS and Nate Weiner DDS | 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 and National Provider Directory roles.
-
- Dentist
- Lakewood, CA
- NPI 1790999340
-
- Dentist
- Newport Beach, CA
- NPI 1760697445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1154598415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 DEL AMO BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907132307",
"telephone_number": "562-866-1735",
"fax_number": "562-866-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 DEL AMO BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907132307",
"telephone_number": "562-866-1735",
"fax_number": "562-866-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATHEJA",
"first_name": "ROHIT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "53896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.