Randeep Singh Bhullar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN012628 Issued in GA

Practice address

1905 Beaver Ruin Rd Ste 175
Norcross, GA 30071-3850

Phone

(770) 728-8072

NPI assigned

Jul 1, 2006

Last updated

Feb 8, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Bhullar Dental Group,PC

  • General Practice Dentistry
  • Gainesville, GA
  • NPI 1891943346
  NPD (past) Authorized official
• Georgia Dentures and Implants PC

  • Dental Clinic/Center
  • Norcross, GA
  • NPI 1073012639
  Authorized official Same address or phone
• Gainesville Dental Associates LLC

  • Dental Clinic/Center
  • Gainesville, GA
  • NPI 1801141494
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1669401766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BHULLAR DENTAL GROUP PC",
            "address_2": "1216 AVIATION BLVD. SUITE #101",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-718-9091",
            "fax_number": "770-718-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BEAVER RUIN RD STE 175",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713850",
            "telephone_number": "770-728-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "RANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549522689A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Better Health Medical Group
• Cunardline Bienvenu-Sumpter, PA-C
• Sylvia Bigazzi, PSYCHOMETRIST
• Bilingual Counseling Atlanta, Inc
• Bilingual Mental Health Evaluations of Georgia, Inc
• Binnegy Investments Corporation (Seniors Helping Seniors Lilburn)

• Dentist in Norcross, GA
• Providers in Norcross, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.