Individual provider Active NPI

Bortay Dehnadi, D.D.S

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1649465147
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56334 Issued in CA
Practice address
6405 Ming Ave
Bakersfield, CA 93309-6703
Phone
(661) 834-9900
Fax
(661) 834-5238
NPI assigned
Sep 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56334 CA
General Practice Dentistry 1223G0001X 56334 CA Primary

Addresses

Primary practice location

6405 Ming Ave
Bakersfield, CA 93309-6703

Mailing address

6405 Ming Ave
Bakersfield, CA 93309-6703
Phone (661) 834-9900

Other practice location 1

1507 Panama Ln Ste 102
Bakersfield, CA 93307-5682
Phone (661) 398-5555

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
56334CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bortay Dehnadi DDS. Inc CurrentSince Sep 11, 2022 Accepting new patients
Barr Dental Corporation Dentist PastSince Sep 11, 2022 Accepting new patients
Nirup Reddy and Bortay Dehnadi D.D.S, Inc. Dentist PastSince Jun 1, 2021 Accepting new patients
Hacienda Dental PastSince Jun 1, 2021 Accepting new patients

Locations

6405 Ming Ave
Bakersfield, CA 93309
Phone (661) 834-9900

Organizations & group practices 4

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": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1649465147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096703",
            "telephone_number": "661-834-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096703",
            "telephone_number": "661-834-9900",
            "fax_number": "661-834-5238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Panama Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933075682",
            "country_code": "US",
            "telephone_number": "661-398-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHNADI",
        "first_name": "BORTAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56334",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.