Active NPI
Aneel Kumar Bherwani, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Yalesville, CT
National Provider Identifier
1689112708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12391
- Practice address
- 60 Church St Ste 15
Yalesville, CT 06492-2394 - Phone
- (203) 774-0019
- NPI assigned
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12391 | CT | Primary |
Addresses
Primary practice location
60 Church St Ste 15
Yalesville, CT 06492-2394
Mailing address
266 Thunder Lake Rd
Wilton, CT 06897-1339
Phone (609) 305-1264
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12391 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1689112708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 THUNDER LAKE RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068971339",
"telephone_number": "609-305-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CHURCH ST STE 15",
"city": "YALESVILLE",
"state": "CT",
"postal_code": "064922394",
"telephone_number": "203-774-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHERWANI",
"first_name": "ANEEL",
"middle_name": "KUMAR",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CT",
"license": "12391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yalesville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.