Active NPI
Gloria E Bhushan, DDS
- General Practice Dentistry
- Flower Mound, TX
National Provider Identifier
1316150295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21167
- Practice address
- 500 Flower Mound Rd SPC 101
Flower Mound, TX 75028-3414 - Phone
- (972) 539-1995
- Fax
- (972) 539-1996
- NPI assigned
- May 8, 2007
- Last updated
- Nov 1, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21167 | TX | Primary |
Addresses
Primary practice location
500 Flower Mound Rd SPC 101
Flower Mound, TX 75028-3414
Mailing address
500 Flower Mound Rd SPC 101
Flower Mound, TX 75028-3414
Phone (972) 539-1995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701468-01 | Medicaid | TX |
Other names 1
- Dr. Gloria E Lopez-Bhushan
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 |
|---|---|---|---|
| 21167 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lopez-Bhushan, DDS, P.C. | General Practice | Past | Accepting new patients |
| Lopez-Bhushan, DDS | 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.
-
dba Glorious Smiles
- General Practice Dentistry
- Flower Mound, TX
- NPI 1407225394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1316150295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FLOWER MOUND RD SPC 101",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283414",
"telephone_number": "972-539-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FLOWER MOUND RD SPC 101",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283414",
"telephone_number": "972-539-1995",
"fax_number": "972-539-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUSHAN",
"first_name": "GLORIA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701468-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "LOPEZ-BHUSHAN",
"middle_name": "E",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.