Individual provider Active NPI

Bharati B. Desai, D.D.S.

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1447290796
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29915 Issued in CA
Practice address
8954 Reseda Blvd
Suite # 100
Northridge, CA 91324-3952
Phone
(818) 701-3010
Fax
(818) 701-0115
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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 29915 CA Primary

Addresses

Primary practice location

8954 Reseda Blvd
Suite # 100
Northridge, CA 91324-3952

Mailing address

8954 Reseda Blvd
Suite # 100
Northridge, CA 91324-3952
Phone (818) 701-3010

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160115001991 CA Order and Referring Only - DentistPractitioner - Dentist 4183926306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29915CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Benyaminy and Kashani Dental Corp 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1447290796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 RESEDA BLVD",
            "address_2": "SUITE # 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243952",
            "telephone_number": "818-701-3010",
            "fax_number": "818-701-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 RESEDA BLVD",
            "address_2": "SUITE # 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243952",
            "telephone_number": "818-701-3010",
            "fax_number": "818-701-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "BHARATI",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.