Individual provider Active NPI

Haranchal K Bains, DMD

  • Dentist
  • Somerville, MA
National Provider Identifier
1205385002
Registry record updated Mar 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857424 Issued in MA
Practice address
120 Temple St
Somerville, MA 02145-1910
Phone
(617) 776-9000
NPI assigned
Sep 22, 2016
Last updated
Mar 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1857424 MA Primary

Addresses

Primary practice location

120 Temple St
Somerville, MA 02145-1910

Mailing address

55 Station LNDG Apt 401
Medford, MA 02155-5029
Phone (916) 672-7417

Other practice location 1

653 Columbia RD
Dorchester, MA 02125
Phone (617) 825-9100

Other practice location 2

653 Columbia RD
Dorchester, MA 02125
Phone (617) 825-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161020001677 MA Order and Referring Only - DentistPractitioner - Dentist 3577841808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857424MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Element Family Dental PastSince Oct 1, 2019 Accepting new patients
Max Dental Care Inc PastSince Jan 19, 2025 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, 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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1205385002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STATION LNDG APT 401",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555029",
            "telephone_number": "916-672-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TEMPLE ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451910",
            "telephone_number": "617-776-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 Columbia RD",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "02125",
            "country_code": "US",
            "telephone_number": "617-825-9100",
            "fax_number": "617-506-1141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653 Columbia RD",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "02125",
            "country_code": "US",
            "telephone_number": "617-825-9100",
            "fax_number": "617-506-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINS",
        "first_name": "HARANCHAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.