Komal Bhat, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015119 Issued in GA

Practice address

1741 Newnan Crossing Blvd E Ste M
Newnan, GA 30265-6600

Phone

(770) 251-2273

NPI assigned

Mar 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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 and National Provider Directory roles.

• L R Smiles of Vinnings, LLC

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1558006148
  NPD Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1700248085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 HUNTERIAN PL",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655677",
            "telephone_number": "717-424-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E STE M",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656600",
            "telephone_number": "770-251-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAT",
        "first_name": "KOMAL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Leonard Bernstein, M.D.
• Bespoke Dental LLC
• Better Days Recreation Therapy
• Better Health Anesthesia Group
• BFG Newnan Propco, LLC (Westhill Newnan Crossing)
• Akshay Bhatnagar, MD
• Lona Demetria Bibbs, DDS
• George W Biles Jr., RPH
• Abdalmalik Khalid Bin Khunayfir, MD
• Grace Grinstead Bird

• General Practice Dentistry in Newnan, GA
• Providers in Newnan, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.