Individual provider Active NPI

Seema Bhakta, DDS

  • General Practice Dentistry
  • Anna, TX
National Provider Identifier
1710147137
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23860 Issued in TX
Practice address
804 S Central Expy
Suite 201
Anna, TX 75409-4512
Phone
(972) 924-4400
Fax
(888) 459-7791
NPI assigned
Jun 10, 2008
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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 23860 TX Primary

Addresses

Primary practice location

804 S Central Expy
Suite 201
Anna, TX 75409-4512

Mailing address

804 S Central Expy
Suite 201
Anna, TX 75409-4512
Phone (972) 924-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150610001813 TX Order and Referring Only - DentistPractitioner - Dentist 3375864739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23860TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Bluebonnet Dental PLLC General Practice Past Accepting new patients

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1710147137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S CENTRAL EXPY",
            "address_2": "SUITE 201",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094512",
            "telephone_number": "972-924-4400",
            "fax_number": "888-459-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S CENTRAL EXPY",
            "address_2": "SUITE 201",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754094512",
            "telephone_number": "972-924-4400",
            "fax_number": "888-459-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "SEEMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

Verify at the official NPI Registry.