Individual provider Active NPI

Praveena Prashant Bhat, DMD

  • Dentist
  • Nashua, NH
National Provider Identifier
1205124245
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03841 Issued in NH
Practice address
537 Amherst St
Nashua, NH 03063-1013
Phone
(603) 882-3885
Fax
(603) 595-2833
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 03841 NH Primary

Addresses

Primary practice location

537 Amherst St
Nashua, NH 03063-1013

Mailing address

31 Newfane Rd
Bedford, NH 03110-4844
Phone (603) 488-5915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20161107000321 NH Order and Referring Only - DentistPractitioner - Dentist 1355629718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03841NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Dentistry Dentist Past Accepting new patients
Advanced Family Dental Care Inc PastSince Jul 24, 2022 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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1205124245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEWFANE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104844",
            "telephone_number": "603-488-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631013",
            "telephone_number": "603-882-3885",
            "fax_number": "603-595-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "PRAVEENA",
        "middle_name": "PRASHANT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.