Individual provider Active NPI

Jui Bhide, DENTIST

  • Dentist
  • Bellevue, WA
National Provider Identifier
1518095934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE9742 Issued in WA
Practice address
1130 140TH Ave NE # 100B
Bellevue, WA 98005-2974
Phone
(425) 746-6090
Fax
(425) 747-9856
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE9742 WA Primary

Addresses

Primary practice location

1130 140TH Ave NE # 100B
Bellevue, WA 98005-2974

Mailing address

9916 223Rd PL NE
Redmond, WA 98053-1956
Phone (425) 761-7236

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

LicenseStateTypeSpecialty
DE9742WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ez Dent Denture Clinic Inc Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518095934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 223RD PL NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531956",
            "telephone_number": "425-761-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 140TH AVE NE # 100B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052974",
            "telephone_number": "425-746-6090",
            "fax_number": "425-747-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIDE",
        "first_name": "JUI",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE9742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.