Active NPI
Kunal Dharmendra Bhakta, DDS
- Pediatric Dentistry
- Fresno, CA
National Provider Identifier
1306228986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS100448
- Practice address
- 7005 N Chestnut Ave Ste 101
Fresno, CA 93720-0348 - Phone
- (714) 717-5378
- NPI assigned
- Jun 19, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS100448 | CA | Primary |
Addresses
Primary practice location
7005 N Chestnut Ave Ste 101
Fresno, CA 93720-0348
Mailing address
7005 N Chestnut Ave Ste 101
Fresno, CA 93720-0348
Phone (714) 717-5378
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS100448 | CA | MD | Pediatric Dentist |
Interoperability endpoints
- kbhakta16986@valleychildrens-prd.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306228986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 N CHESTNUT AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200348",
"telephone_number": "714-717-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 N CHESTNUT AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200348",
"telephone_number": "714-717-5378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "KUNAL",
"middle_name": "DHARMENDRA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-19",
"last_updated": "2022-07-21",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS100448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.