Individual provider Active NPI

Keyur Bhagat, D.D.S.

  • General Practice Dentistry
  • Boerne, TX
National Provider Identifier
1215303136
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31040 Issued in TX
Practice address
27650 Interstate 10 W Ste 203
Boerne, TX 78006-2561
Phone
(210) 577-0516
NPI assigned
Aug 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31040 TX Primary

Addresses

Primary practice location

27650 Interstate 10 W Ste 203
Boerne, TX 78006-2561

Mailing address

25507 Green Ter
San Antonio, TX 78255-2386
Phone (210) 577-0516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31040TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Oaks Dental CurrentSince Oct 8, 2023 Accepting new patients
Dental Office of Irene K Blaess Past Accepting new patients
Deerfield Dental Past Accepting new patients

Locations

27650 Interstate 10 W
Ste 203
Boerne, TX 78006
Phone (210) 201-5564

Organizations & group practices 3

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1215303136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25507 GREEN TER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552386",
            "telephone_number": "210-577-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27650 INTERSTATE 10 W STE 203",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062561",
            "telephone_number": "210-577-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGAT",
        "first_name": "KEYUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.