Manoj K Bahl, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011727A Issued in IN

Practice address

40 W 73Rd Ave
Merrillville, IN 46410-3979

Phone

(219) 769-3305

Fax

(219) 769-4674

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

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.

• Manoj K Bahl, DDS, PC

  dba Excel Dental Studio

  • General Practice Dentistry
  • Merrillville, IN
  • NPI 1295118172
  NPD (past) Authorized official
• Nalbor Dental Corp

  • General Practice Dentistry
  • Merrillville, IN
  • NPI 1790998219
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1578683892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 73RD AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103979",
            "telephone_number": "219-769-3055",
            "fax_number": "219-769-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 73RD AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103979",
            "telephone_number": "219-769-3305",
            "fax_number": "219-769-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHL",
        "first_name": "MANOJ",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50052656",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028218",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011727A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back in Motion Sports & Chiropractic LLC
• Heidi E Badgely, LCSW
• Francia Baez, OD
• Adel Badawy Baghdady, P.T.
• Reham Adel Baghdady, OD
• Anastasia Baiel
• Anders W Bailey, MD
• Shaketta Baker
• Milorad Balac
• Lindsay Balash

• General Practice Dentistry in Merrillville, IN
• Providers in Merrillville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.