Individual provider Active NPI

Harjot Kaur Bains, D.D.S.

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1720192578
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6387 Issued in AZ
Practice address
10630 N 59TH Ave
Suite101
Glendale, AZ 85304-1239
Phone
(623) 878-0117
Fax
(623) 878-6396
NPI assigned
Aug 18, 2006
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 D6387 AZ Primary

Addresses

Primary practice location

10630 N 59TH Ave
Suite101
Glendale, AZ 85304-1239

Mailing address

10630 N 59TH Ave
Suite101
Glendale, AZ 85304-1239
Phone (623) 878-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140829000285 AZ Practitioner - Oral Surgery 3577788470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
New York University College of Dentistry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10630 N 59TH Ave
Suite 101
Glendale, AZ 85304-1239
Phone (623) 332-9163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Teeth Family Dentistry General Practice CurrentSince Mar 27, 2007 Accepting new patients

Locations

10630 N 59th Ave
Ste 101
Glendale, AZ 85304
Phone (623) 332-9163

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1720192578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 N 59TH AVE",
            "address_2": "SUITE101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041239",
            "telephone_number": "623-878-0117",
            "fax_number": "623-878-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 N 59TH AVE",
            "address_2": "SUITE101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041239",
            "telephone_number": "623-878-0117",
            "fax_number": "623-878-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINS",
        "first_name": "HARJOT",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.