Organization Active NPI

S M Bhatt DDS Inc

  • Dentist
  • West Covina, CA
National Provider Identifier
1720200447
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33550 Issued in CA
Legal business name
S M BHATT DDS INC
Practice address
450 S Glendora Ave
Suite 106
West Covina, CA 91790-3066
Phone
(626) 856-3317
Fax
(626) 856-5553
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Shaileshkumar M Bhatt, D.D.S.
Title
Dentist
Phone
(626) 856-3317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 33550 CA Primary

Addresses

Primary practice location

450 S Glendora Ave
Suite 106
West Covina, CA 91790-3066

Mailing address

450 S Glendora Ave
Suite 106
West Covina, CA 91790-3066
Phone (626) 856-3317

National Provider Directory

National Provider Directory

Locations

450 S Glendora Ave
West Covina, CA 91790
Phone (626) 856-3317

450 S Glendora Ave
Ste 106
West Covina, CA 91790
Phone (626) 856-3317

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1720200447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S GLENDORA AVE",
            "address_2": "SUITE 106",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903066",
            "telephone_number": "626-856-3317",
            "fax_number": "626-856-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S GLENDORA AVE",
            "address_2": "SUITE 106",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903066",
            "telephone_number": "626-856-3317",
            "fax_number": "626-856-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S M BHATT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "SHAILESHKUMAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-856-3317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.