Divya Bhalla, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13462 Issued in MN

Practice address

2215 2ND St SW
Suite 150
Rochester, MN 55902-4147

Phone

(507) 281-5987

NPI assigned

Jul 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Practice roles

Interoperability endpoints

• Direct secure messaging: divya.bhalla.1@8439.direct.athenahealth.com

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.

• Modern Dental Professionals MN PC

  • Dentist
  • Rochester, MN
  • NPI 1972786655
  NPD (past)

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1457768921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 2ND ST SW",
            "address_2": "SUITE 150",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024147",
            "telephone_number": "507-281-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 2ND ST SW",
            "address_2": "SUITE 150",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024147",
            "telephone_number": "507-281-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "DIVYA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kae Beyer, CNP
• Brett J Bezak, DMD, MD
• Jyoti Bhagia, MD
• Anjali Bhagra, MBBS
• Eric Bhaimia, D.O.
• Sunita Khanal Bhandari, APRN, CRNA
• Archis Ramkrishna Bhandarkar, MD
• Vishwesh Milind Bharadiya, MBBS
• Gabu Bhardwaj, MD
• Deepika B Bhargava, MD

• Dentist in Rochester, MN
• Providers in Rochester, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.