Active NPI
Umair Bajwa, DDS
- Dentist
- Colmar, PA
National Provider Identifier
1336870823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044240
- Practice address
- 2406 N Broad St
Colmar, PA 18915-9701 - Phone
- (215) 997-2300
- NPI assigned
- Jun 23, 2022
- Last updated
- Aug 4, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033841 | IL | |
| Dentist | 122300000X | 12013853A | IN | |
| Dentist | 122300000X | DS044240 | PA | Primary |
Addresses
Primary practice location
2406 N Broad St
Colmar, PA 18915-9701
Mailing address
1353 Westhampton Woods CT
Wildwood, MO 63005-6324
Phone (314) 680-0303
Other practice location 1
3536 Rhoads Ave
Newtown Square, PA 19073-3702
Phone (610) 569-4296
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 |
|---|---|---|---|
| 019.033841 | IL | MD | Dentist |
| 12013853A | IN | MD | Dentist |
| DS044240 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dilip N Dudhat, DMD,PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Dental Esthetics
- General Practice Dentistry
- Colmar, PA
- NPI 1881808665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722729600000",
"number": "1336870823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 WESTHAMPTON WOODS CT",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630056324",
"telephone_number": "314-680-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 N BROAD ST",
"city": "COLMAR",
"state": "PA",
"postal_code": "189159701",
"telephone_number": "215-997-2300"
}
],
"practiceLocations": [
{
"address_1": "3536 Rhoads Ave",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190733702",
"country_code": "US",
"telephone_number": "610-569-4296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAJWA",
"first_name": "UMAIR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2024-08-04",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033841",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013853A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colmar, PA
- Raymond C Au, D.D.S.
- Stephen R Au
- Karen G Aubert, RD, CDE, LDN
- Avp Clinical Business Consultants
- Maria J Bader, M.S.,L.P.C.
- Bela P Patel DMD & Associates Inc (E Z Smile Family Dental)
- Clayton Blackwell
- Bucks Mont Imaging Associates Inc.. (Colmar Imaging Center)
- Joel Chanen, DDS
- Robin Elyse Chanen, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.