Organization Active NPI

Jimmy K Bhatt, DDS, Inc

  • Dental Clinic/Center
  • Ontario, CA
National Provider Identifier
1598261059
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
101616 Issued in CA
Legal business name
JIMMY K BHATT, DDS, INC
Practice address
941 W Mission Blvd Ste H
Ontario, CA 91762-6890
Phone
(909) 984-7883
Fax
(909) 984-3463
NPI assigned
Apr 3, 2018
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Jimmy K Bhatt, DDSNPI 1043733736
Title
Ceo
Phone
(909) 984-7883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 101616 CA Primary

Addresses

Primary practice location

941 W Mission Blvd Ste H
Ontario, CA 91762-6890

Mailing address

1126 E Commonwealth Ave
Fullerton, CA 92831-4616
Phone (714) 862-8303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1598261059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314616",
            "telephone_number": "714-862-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 W MISSION BLVD STE H",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917626890",
            "telephone_number": "909-984-7883",
            "fax_number": "909-984-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY K BHATT, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-984-7883",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "101616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.