Individual provider Active NPI

Ramesh G Bhandari, DMD

  • General Practice Dentistry
  • Binghamton, NY
National Provider Identifier
1356468987
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030807 Issued in NY
Practice address
561 Chenango St
Binghamton, NY 13901-2103
Phone
(607) 723-0101
Fax
(607) 723-1710
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 030807 NY Primary

Addresses

Primary practice location

561 Chenango St
Binghamton, NY 13901-2103

Mailing address

561 Chenango St
Binghamton, NY 13901-2103
Phone (607) 723-0101

Other identifiers 1

IdentifierTypeStateIssuer
00578083MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160205000310 NY Order and Referring Only - DentistPractitioner - Dentist 2567766983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030807NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356468987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 CHENANGO ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012103",
            "telephone_number": "607-723-0101",
            "fax_number": "607-723-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 CHENANGO ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012103",
            "telephone_number": "607-723-0101",
            "fax_number": "607-723-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "RAMESH",
        "middle_name": "G",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00578083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.