Organization Active NPI

Aman Bhullar DMD,Inc

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1386110534
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMAN BHULLAR DMD,INC
Practice address
1660 Willow St Ste 7
San Jose, CA 95125-5101
Phone
(408) 266-4571
Fax
(408) 267-9016
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Amandeep Bhullar, DMD
Title
Owner
Phone
(408) 677-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1660 Willow St Ste 7
San Jose, CA 95125-5101

Mailing address

1660 Willow St Ste 7
San Jose, CA 95125-5101
Phone (408) 266-4571

Other identifiers 1

IdentifierTypeStateIssuer
55373OtherCADENTAL LICENCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1386110534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-266-4571",
            "fax_number": "408-267-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-266-4571",
            "fax_number": "408-267-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAN BHULLAR DMD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "BHULLAR",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-677-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "55373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.