Individual provider Active NPI

Sneha Brahmbhatt, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1528315439
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28769 Issued in TX
Practice address
4417 South Lancaster Rd. Ste 2275
Dallas, TX 75216
Phone
(469) 620-7445
Fax
(469) 607-9229
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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 010823 CT
General Practice Dentistry 1223G0001X 28769 TX Primary

Addresses

Primary practice location

4417 South Lancaster Rd. Ste 2275
Dallas, TX 75216

Mailing address

4417 South Lancaster Rd. Suite 2275
Dallas, TX 75216
Phone (469) 620-7445

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
I20160519000391 TX Order and Referring Only - DentistPractitioner - Dentist 3971892639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010823CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hulen Smiles PLLC General Practice CurrentSince Jul 25, 2021 Accepting new patients
LFD Dental PLLC General Practice PastSince Sep 12, 2021 Accepting new patients

Locations

6217 Oakmont Blvd
Fort Worth, TX 76132
Phone (682) 224-1464

Organizations & group practices 2

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1528315439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 SOUTH LANCASTER RD. SUITE 2275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75216",
            "telephone_number": "469-620-7445",
            "fax_number": "469-607-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 SOUTH LANCASTER RD. STE 2275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75216",
            "telephone_number": "469-620-7445",
            "fax_number": "469-607-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "SNEHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010823",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.