Sarath N. Bachali, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9096 Issued in KY

Practice address

621 Broadway St
Portsmouth, OH 45662-4788

Phone

(740) 370-4234

NPI assigned

Jul 20, 2011

Last updated

Sep 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1487942777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BROADWAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624788",
            "telephone_number": "740-370-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROADWAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624788",
            "telephone_number": "740-370-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHALI",
        "first_name": "SARATH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9096",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100172380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahat Syed Azfar, MD
• Babcock Eye Care LLC
• Joseph WM. Babcock, O.D.
• Taylor Babcock, O.D.
• Maja Babic, MD
• Caroline Bachman, QMHS
• Linda Bagley
• Hannah Kayla Bailey, PA-C
• Josey Bailey, LISW
• Kayla Bailey

• General Practice Dentistry in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.