Bhoomi Kotak, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1857832 Issued in MA

Practice address

60 East St Ste 2500
Methuen, MA 01844-4519

Phone

(978) 788-9303

Fax

(978) 237-4003

NPI assigned

Sep 26, 2017

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• JK Dental Consultants PLLC

  • Pediatric Dentistry
  • Methuen, MA
  • NPI 1104648468

  Orthodontics and Dentofacial Orthopedics

  NPD

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1376052043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MIDDLESEX AVE UNIT C208",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555084",
            "telephone_number": "603-930-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST STE 2500",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444519",
            "telephone_number": "978-788-9303",
            "fax_number": "978-237-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Lynnfield St",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019605201",
            "country_code": "US",
            "telephone_number": "978-587-3368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTAK",
        "first_name": "BHOOMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031413",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857832",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1857832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey R Kneeland, DPT
• Madison Knibbs, MOT, OTR/L
• Judith Rita Kong, RN
• Jennifer Rose Korzeb, DMD
• Amy Marie Kostak
• Bianca Krapian, RN
• Danielle Marie Kreig, PHARMD, RPH
• Juliet M Kyotowadde, APRN-BC
• Lab Operations, LLC
• Laboratory Corporation of America Holdings

• Orthodontics and Dentofacial Orthopedics Dentistry in Methuen, MA
• Providers in Methuen, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.