Priyanka Bhalla, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

052325 Issued in NY

Practice address

17691 Manchester Ave
Irvine, CA 92614-6647

Phone

(917) 576-2640

NPI assigned

Oct 17, 2006

Last updated

Oct 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B. Nguyen Dental Corporation

  dba Walnut Dental Group and Orthodontics

  • Dentist
  • Irvine, CA
  • NPI 1528163441
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1659452993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14427 CULVER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040305",
            "telephone_number": "949-733-0486",
            "fax_number": "949-733-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17691 MANCHESTER AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146647",
            "telephone_number": "917-576-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02678857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Bevel
• Marybeth Bewersdorf, MD
• Beyond Words Bilingual Speech Therapy Inc (Beyond Words)
• Carleena Abul Bhaduri, LCSW
• Ankush Bhakta
• Savitha J. Bharadwaj, M.D.
• Gunjan Bhatnagar, M.D.
• Seema G Bhutani, H.T.
• Rica Reynado Biagan, D.D.S.
• Carina Laurel Biddle, M.S., LMFT

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.