NPIMap

Organization Active NPI

Blue Tooth Dental Dr Pradeep Bekal LLC

Doing business as Brilliant Tooth Dentist

  • Dentist
  • Dayton, OH
National Provider Identifier
1659771079
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-021117 Issued in OH
Legal business name
BLUE TOOTH DENTAL DR PRADEEP BEKAL LLC
Doing business as
Brilliant Tooth Dentist
Practice address
1203 Salem Ave
Dayton, OH 45406-5044
Phone
(937) 275-7448
Fax
(937) 813-2278
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Pradeep P Bekal, DDS
Title
Dentist
Phone
(937) 286-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 30-021117 OH Primary

Addresses

Primary practice location

1203 Salem Ave
Dayton, OH 45406-5044

Mailing address

1203 Salem Ave
Dayton, OH 45406-5044
Phone (937) 275-7448

Other names 1

  • BRILLIANT TOOTH DENTIST Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1659771079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065044",
            "telephone_number": "937-275-7448",
            "fax_number": "937-813-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065044",
            "telephone_number": "937-275-7448",
            "fax_number": "937-813-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE TOOTH DENTAL DR PRADEEP BEKAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "BEKAL",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "937-286-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-021117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRILLIANT TOOTH DENTIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.