NPIMap

Organization Active NPI

Jay I. Bhatt DDS

  • Dentist
  • Diamond Bar, CA
National Provider Identifier
1386860146
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33064 Issued in CA
Legal business name
JAY I. BHATT DDS
Practice address
1111 Grand Ave
Suite G
Diamond Bar, CA 91765-4171
Phone
(909) 396-7474
Fax
(909) 860-4443
NPI assigned
Apr 18, 2007
Organization subpart
Yes
Parent organization
N/AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Jay I. Bhatt, DDSNPI 1467668517
Title
Owner
Phone
(909) 861-2811

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 33064 CA Primary

Addresses

Primary practice location

1111 Grand Ave
Suite G
Diamond Bar, CA 91765-4171

Mailing address

1111 Grand Ave
Suite G
Diamond Bar, CA 91765-4171
Phone (909) 396-7474

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory
Tax ID family
Jayant I Bhatt DDS2 organizations share this tax ID, including this one
Part of
Jayant I Bhatt DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 Grand Ave
Ste G
Diamond Bar, CA 91765
Phone (909) 396-7474

Practitioners & affiliated clinicians

Practitioners 3

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1386860146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "SUITE G",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-396-7474",
            "fax_number": "909-860-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "SUITE G",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-396-7474",
            "fax_number": "909-860-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY I. BHATT DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N/A",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-861-2811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.