Misty Henne-Bhullar DMD Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

101918 Issued in CA

Legal business name

MISTY HENNE-BHULLAR DMD INC.

Practice address

1660 Willow St.
Suite 7
San Jose, CA 95125

Phone

(669) 222-8315

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Misty Autumn Henne-Bhullar, D.M.D

Title

Owner

Phone

(408) 613-9230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1235620907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST.",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "408-613-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST.",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "669-222-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY HENNE-BHULLAR DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "HENNE-BHULLAR",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "AUTUMN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-613-9230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "101918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.