Individual provider Active NPI

Sonali Bhandari, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1487819074
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24907 Issued in TX
Practice address
1210 W Braker LN
Austin, TX 78758-3801
Phone
(512) 978-9880
Fax
(512) 279-2556
NPI assigned
Jul 23, 2008
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 150691 NC
General Practice Dentistry 1223G0001X 24907 TX Primary

Addresses

Primary practice location

1210 W Braker LN
Austin, TX 78758-3801

Mailing address

1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130320000646 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204071335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150691NCMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: sbhandari582692@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1487819074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583801",
            "telephone_number": "512-978-9880",
            "fax_number": "512-279-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W BRAKER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583801",
            "telephone_number": "512-978-9880",
            "fax_number": "512-279-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "SONALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "150691",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.