Amandeep Bhullar, DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

55373 Issued in CA

Practice address

1660 Willow St Ste 7
San Jose, CA 95125-5101

Phone

(408) 677-6811

NPI assigned

Oct 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1659881100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-677-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 WILLOW ST STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255101",
            "telephone_number": "408-677-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18693 Carriage Hill Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951201017",
            "country_code": "US",
            "telephone_number": "604-339-3511",
            "fax_number": "604-339-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 Willow St Ste 7",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255101",
            "country_code": "US",
            "telephone_number": "408-677-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "AMANDEEP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55373",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhawna Gupta Dental Practice Inc
• Bhawna Gupta Dentistry Corporation
• Meenesh A Bhimani, MD
• Prachi S Bhise, MD
• Marjorie Warner Bhogal, M.D.
• Dinesh Bhuva, M.D.
• Maria Bi, D.D.S.
• Shutong Bi, OMD
• Ewa Bialkowski
• Gina Marie Bianchi, D.C.

• Dental Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.