Individual provider Active NPI

Harpal Kaur Bhan, D.M.D.

  • General Practice Dentistry
  • West Roxbury, MA
National Provider Identifier
1417043308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18529 Issued in MA
Practice address
540 VFW Pkwy Ste 5
West Roxbury, MA 02132-1332
Phone
(617) 327-5700
Fax
(617) 327-5050
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

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 18529 MA Primary

Addresses

Primary practice location

540 VFW Pkwy Ste 5
West Roxbury, MA 02132-1332

Mailing address

822 W Roxbury Pkwy
Chestnut Hill, MA 02467-3702
Phone (617) 469-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425001184 MA Order and Referring Only - DentistPractitioner - Dentist 0941509087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18529MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harpal Bhan DMD & Pardaman Bhan DMD PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417043308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W ROXBURY PKWY",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673702",
            "telephone_number": "617-469-8244",
            "fax_number": "617-327-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 VFW PKWY STE 5",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321332",
            "telephone_number": "617-327-5700",
            "fax_number": "617-327-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAN",
        "first_name": "HARPAL",
        "middle_name": "KAUR",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.