Individual provider Active NPI

Neha K Dalal Batra, D.D.S.

  • Dentist
  • Clinton TWP, MI
National Provider Identifier
1164644209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018706 Issued in MI
Practice address
15760 19 Mile Rd
Ste. a
Clinton TWP, MI 48038-6319
Phone
(586) 412-1144
Fax
(586) 412-8959
NPI assigned
May 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018706 MI Primary

Addresses

Primary practice location

15760 19 Mile Rd
Ste. a
Clinton TWP, MI 48038-6319

Mailing address

15760 19 Mile Rd
Ste. a
Clinton TWP, MI 48038-6319
Phone (586) 412-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901002959 MI Order and Referring Only - DentistPractitioner - Dentist 9739495045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amit Batra D.D.S Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164644209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD",
            "address_2": "STE. A",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-412-1144",
            "fax_number": "586-412-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD",
            "address_2": "STE. A",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-412-1144",
            "fax_number": "586-412-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL BATRA",
        "first_name": "NEHA",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.