Bharani Kumar Bhattu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28180 Issued in TX

Practice address

510 E Lisa Dr
Chaparral, NM 88081-7809

Phone

(575) 824-0128

Fax

(575) 824-0179

NPI assigned

Jul 11, 2012

Last updated

Sep 27, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bharani.bhattu@lcdfnm.eclinicaldirectplus.com

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1629333091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "address_2": "BLDG. A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E LISA DR",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817809",
            "telephone_number": "575-824-0128",
            "fax_number": "575-824-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTU",
        "first_name": "BHARANI KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krised Arriola, LMSW
• Brenda Barraza, LMHC
• Karen Ileana Barraza, LPCC
• Rosaura Bell, LMHC
• Gaston Alberto Berrios, M.D.
• Tammi Bone, CNP
• Michael Lee Burton, MA, LMHC
• Belem Selene Calzadillas-Perez, BCH
• Yolanda Alicia Camacho, LPCC
• Berenice Cangas, LMHC

• General Practice Dentistry in Chaparral, NM
• Providers in Chaparral, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.