Individual provider Active NPI

Bhagwan Dass, DDS

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1366558900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032024 Issued in NY
Practice address
653 Howard Rd
Rochester, NY 14624-1758
Phone
(585) 247-0975
Fax
(585) 247-6836
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 032024 NY Primary

Addresses

Primary practice location

653 Howard Rd
Rochester, NY 14624-1758

Mailing address

653 Howard Rd
Rochester, NY 14624-1758
Phone (585) 247-0975

Other identifiers 1

IdentifierTypeStateIssuer
116727OtherNYUCCI TRI-CARE

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366558900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 HOWARD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241758",
            "telephone_number": "585-247-0975",
            "fax_number": "585-247-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 HOWARD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241758",
            "telephone_number": "585-247-0975",
            "fax_number": "585-247-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASS",
        "first_name": "BHAGWAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI  TRI-CARE",
            "identifier": "116727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.