Active NPI
Jagjit Bhui
- Dentist
- Vancouver, WA
National Provider Identifier
1225167943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5049143 | Medicaid | WA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160516000515 | WA | Order and Referring Only - Dentist | 8224327259 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8609 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jagjit Bhui | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.