Individual provider Active NPI

Naresh C Bhavsar, D.M.D.

  • Dentist
  • Holland, PA
National Provider Identifier
1205008174
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037451 Issued in PA
Practice address
295 Buck Rd
Suite 109
Holland, PA 18966-1733
Phone
(215) 953-0553
Fax
(215) 953-8415
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037451 PA Primary

Addresses

Primary practice location

295 Buck Rd
Suite 109
Holland, PA 18966-1733

Mailing address

295 Buck Rd
Suite 109
Holland, PA 18966-1733
Phone (215) 953-0553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160330002585 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6608173927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Dental Practice, PC Past Accepting new patients
The Family Holland Dental 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.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1205008174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BUCK RD",
            "address_2": "SUITE 109",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661733",
            "telephone_number": "215-953-0553",
            "fax_number": "215-953-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 BUCK RD",
            "address_2": "SUITE 109",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661733",
            "telephone_number": "215-953-0553",
            "fax_number": "215-953-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAVSAR",
        "first_name": "NARESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, PA

Sources for this page

Verify at the official NPI Registry.