Individual provider Active NPI

Jagjit Bhui

  • Dentist
  • Vancouver, WA
National Provider Identifier
1225167943
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8609 Issued in WA
Practice address
9300 NE Vancouver Mall Dr
Suite 100
Vancouver, WA 98662-8201
Phone
(360) 695-5555
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8609 WA Primary

Addresses

Primary practice location

9300 NE Vancouver Mall Dr
Suite 100
Vancouver, WA 98662-8201

Mailing address

9300 NE Vancouver Mall Dr
Suite# 100
Vancouver, WA 98662-8201
Phone (360) 695-5555

Other identifiers 1

IdentifierTypeStateIssuer
5049143MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160516000515 WA Order and Referring Only - DentistPractitioner - Dentist 8224327259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8609WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jagjit Bhui PastSince Feb 1, 2014 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1225167943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR",
            "address_2": "SUITE# 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628201",
            "telephone_number": "360-695-5555",
            "fax_number": "360-253-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NE VANCOUVER MALL DR",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986628201",
            "telephone_number": "360-695-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUI",
        "first_name": "JAGJIT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "8609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5049143",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.