Organization Active NPI

Bhargava DDS PA

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1366503211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60182 Issued in KS
Legal business name
BHARGAVA DDS PA
Practice address
1230 N Broadmoor Ave
Ste # 300
Wichita, KS 67206-3891
Phone
(316) 630-0002
Fax
(316) 630-0004
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neil Bhargava, DDSNPI 1831299619
Title
Owner
Phone
(316) 630-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 60181 KS
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 60182 KS Primary

Addresses

Primary practice location

1230 N Broadmoor Ave
Ste # 300
Wichita, KS 67206-3891

Mailing address

1230 N Broadmoor Ave
Ste # 300
Wichita, KS 67206-3891
Phone (316) 630-0002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366503211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N BROADMOOR AVE",
            "address_2": "STE # 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063891",
            "telephone_number": "316-630-0002",
            "fax_number": "316-630-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N BROADMOOR AVE",
            "address_2": "STE # 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063891",
            "telephone_number": "316-630-0002",
            "fax_number": "316-630-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARGAVA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHARGAVA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-630-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60181",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.