Individual provider Active NPI

Naina Bhoot, D.D.S.

  • General Practice Dentistry
  • Montrose, CA
National Provider Identifier
1689671547
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48325 Issued in CA
Practice address
2520 Honolulu Ave
#160
Montrose, CA 91020-1853
Phone
(818) 248-0088
Fax
(818) 475-5876
NPI assigned
Jul 6, 2005
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48325 CA Primary

Addresses

Primary practice location

2520 Honolulu Ave
#160
Montrose, CA 91020-1853

Mailing address

2520 Honolulu Ave
#160
Montrose, CA 91020-1853

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150916003648 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032426499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1689671547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HONOLULU AVE",
            "address_2": "#160",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HONOLULU AVE",
            "address_2": "#160",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201853",
            "telephone_number": "818-248-0088",
            "fax_number": "818-475-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOOT",
        "first_name": "NAINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.