Individual provider Active NPI

Amogh Bhalerao, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1356995948
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37214 Issued in TX
Practice address
5460 Babcock Rd
San Antonio, TX 78240-3901
Phone
(210) 694-4999
NPI assigned
Jul 31, 2019
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37214 TX Primary

Addresses

Primary practice location

5460 Babcock Rd
San Antonio, TX 78240-3901

Mailing address

5460 Babcock Rd Ste 105
San Antonio, TX 78240-3400
Phone (210) 694-4999

Other practice location 1

351 E Hildebrand Ave
San Antonio, TX 78212-2412
Phone (210) 824-2303

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042408PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amogh Bhalerao DDS PLLC Dentist CurrentSince Apr 6, 2023 Accepting new patients
Olmos Park Family Dentistry PLLC CurrentSince Jun 9, 2024 Accepting new patients
Elite Dental LLC PastSince Aug 6, 2019 Accepting new patients

Locations

351 E Hildebrand Ave
San Antonio, TX 78212
Phone (210) 694-4999

5460 Babcock Rd
Ste 105
San Antonio, TX 78240
Phone (210) 694-4999

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1356995948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403400",
            "telephone_number": "210-694-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403901",
            "telephone_number": "210-694-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 E Hildebrand Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782122412",
            "country_code": "US",
            "telephone_number": "210-824-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHALERAO",
        "first_name": "AMOGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.