Individual provider Active NPI

Sohal Bhalodia, DDS

  • Dentist
  • Baltimore, MD
National Provider Identifier
1225198476
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13645 Issued in MD
Practice address
7402 York Rd Ste 202
Baltimore, MD 21204-7520
Phone
(410) 823-5900
Fax
(410) 823-0721
NPI assigned
Dec 11, 2006
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13645 MD Primary
General Practice Dentistry 1223G0001X 13645 MD
General Practice Dentistry 1223G0001X DS-036317 PA

Addresses

Primary practice location

7402 York Rd Ste 202
Baltimore, MD 21204-7520

Mailing address

7402 York Rd Ste 202
Baltimore, MD 21204-7520
Phone (410) 823-5900

Other identifiers 1

IdentifierTypeStateIssuer
101505905MedicaidPA

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
13645MDMDClinical Social Worker
DS-036317PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A-1 Family Dental Care P.C. General Practice Past Accepting new patients
A Plus Oral Surgery Specialty Care, P.C. Past 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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1225198476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 YORK RD STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212047520",
            "telephone_number": "410-823-5900",
            "fax_number": "410-823-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 YORK RD STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212047520",
            "telephone_number": "410-823-5900",
            "fax_number": "410-823-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALODIA",
        "first_name": "SOHAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13645",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13645",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-036317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101505905",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.