Individual provider Active NPI

Jithendar Bhonagiri

  • General Practice Dentistry
  • Findlay, OH
National Provider Identifier
1346677879
Registry record updated Sep 30, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024091 Issued in OH
Practice address
2540 Tiffin Ave
Findlay, OH 45840-9511
Phone
(419) 424-3500
NPI assigned
Sep 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.024091 OH Primary

Addresses

Primary practice location

2540 Tiffin Ave
Findlay, OH 45840-9511

Mailing address

1737 Lucille Dr Apt 2B
Lima, OH 45801-2865
Phone (408) 368-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928002777 OH Order and Referring Only - DentistPractitioner - Dentist 9234426610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calderon Dental Inc General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1346677879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 LUCILLE DR APT 2B",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012865",
            "telephone_number": "408-368-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 TIFFIN AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458409511",
            "telephone_number": "419-424-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHONAGIRI",
        "first_name": "JITHENDAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.