NPIMap

Individual provider Active NPI

Bhumika Jain, DDS

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1407125610
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60997 Issued in CA
Practice address
1130 Vida Larga Loop
Milpitas, CA 95035-8666
Phone
(408) 666-0290
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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 60997 CA Primary

Addresses

Primary practice location

1130 Vida Larga Loop
Milpitas, CA 95035-8666

Mailing address

1130 Vida Larga Loop
Milpitas, CA 95035-8666
Phone (408) 666-0290

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

State licenses

LicenseStateTypeSpecialty
60997CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Life Organization, Inc Past Accepting new patients
Health and Life Organization, Inc General Practice Past Accepting new patients
Health and Life Organization, Inc. General Practice Past Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1407125610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 VIDA LARGA LOOP",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358666",
            "telephone_number": "408-666-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 VIDA LARGA LOOP",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358666",
            "telephone_number": "408-666-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "BHUMIKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.