Bharat Mansukhlal Rajpara, BDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36600 Issued in CA

Practice address

8750 19TH St
Alta Loma, CA 91701-4608

Phone

(909) 483-1177

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417176835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14304 SANTA LUCIA ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363622",
            "telephone_number": "909-483-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 19TH ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917014608",
            "telephone_number": "909-483-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJPARA",
        "first_name": "BHARAT",
        "middle_name": "MANSUKHLAL",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B36600-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nidhi Chinmai Papagari
• Trinh Pham, DDS
• Physician Support Service
• Briana Michelle Pocius
• R&R Recovery Service, LLC
• Irma Ramirez
• Paula Ciara Ramos, LMFT 152151
• Brian A Raqueno, PT, DPT
• Jennifer Nicole Reed
• Lisa Ann Rettberg, MA, CCC-SLP

• General Practice Dentistry in Alta Loma, CA
• Providers in Alta Loma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.