Annu Bhalla

Primary specialty

DentistTaxonomy code 122300000X

License

D009629 Issued in AZ

Practice address

8250 N Cortaro Rd Ste 110
Tucson, AZ 85743-7304

Phone

(520) 477-2233

NPI assigned

Jan 6, 2017

Last updated

Jan 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cortaro Smiles and Orthodontics, LLP

  dba Cortaro Smiles and Orthodontics

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1518273598
  NPD (past)

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1346786985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 N CORTARO RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437304",
            "telephone_number": "520-477-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 N CORTARO RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857437304",
            "telephone_number": "520-477-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "ANNU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla Bhagwan
• Jeet Bhaidasna, DO
• Krupa Bhakta
• Priyaben Tarunkumar Bhakta, MD
• Rita M Bhakta, O.D.
• Sunita V Bhamidipaty, MD
• Shivani Kaushik Bhanderi, PHARMD
• Rishi Kumar Bhargava, M.D
• Sanjay Manish Bhartia, M.D.
• Bhat Internal Medicine PC

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.