Active NPI
Bhavin H Gajjar, DDS
- General Practice Dentistry
- Gainsville, FL
National Provider Identifier
1437823259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28802
- Practice address
- 908 NW 57TH Street
Gainsville, FL 32605 - Phone
- (352) 332-8199
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37623 | TX | |
| General Practice Dentistry | 1223G0001X | D11546 | OR | |
| General Practice Dentistry | 1223G0001X | DN28802 | FL | Primary |
Addresses
Primary practice location
908 NW 57TH Street
Gainsville, FL 32605
Mailing address
908 NW 57TH Street
Gainsville, FL 32605
Other practice location 1
196 Catron St N
Monmouth, OR 97361-2303
Phone (503) 420-7389
Other practice location 2
2220 9th Ave SE
Albany, OR 97322-5000
Phone (541) 238-2212
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37623 | TX | MD | Clinical Psychologist |
| D11546 | OR | MD | General Practice Dentistry |
| DN28802 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Dental Health Associates of Florida, PA | General Practice | Current | Accepting new patients |
Locations
908 NW 57th St
Gainesville, FL 32605
Phone (352) 332-8199
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.
-
dba Gainesville Dental Associates
- General Practice Dentistry
- Gainesville, FL
- NPI 1972905222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1437823259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NW 57TH STREET",
"city": "GAINSVILLE",
"state": "FL",
"postal_code": "32605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 NW 57TH STREET",
"city": "GAINSVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-332-8199"
}
],
"practiceLocations": [
{
"address_1": "196 Catron St N",
"address_purpose": "LOCATION",
"city": "Monmouth",
"state": "OR",
"postal_code": "973612303",
"country_code": "US",
"telephone_number": "503-420-7389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2220 9th Ave SE",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973225000",
"country_code": "US",
"telephone_number": "541-238-2212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAJJAR",
"first_name": "BHAVIN",
"middle_name": "H",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2024-02-23",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "37623",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D11546",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainsville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.