Namrata K. Bhullar DDS Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

53756 Issued in CA

Legal business name

NAMRATA K. BHULLAR DDS INC.

Practice address

500 Alfred Nobel Dr Ste 180
Hercules, CA 94547-1842

Phone

(559) 307-8289

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Namrata Kaur Bhullar, DDSNPI 1841363264

Title

Pediatric Dentist

Phone

(559) 307-8289

Specialties & licenses 1

Addresses

Other names 1

• Hercules kids Dentistry Doing business as

Locations

Practitioners 1

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

• Namrata Bhullar, DDS

  • Dentist
  • Hercules, CA
  • NPI 1841363264
  NPD (past) Authorized official

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1720405442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 180",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471842",
            "telephone_number": "559-307-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 180",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471842",
            "telephone_number": "559-307-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMRATA K. BHULLAR DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BHULLAR",
        "authorized_official_first_name": "NAMRATA",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "559-307-8289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hercules kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hercules kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devyn Morris
• Shawntanea Desiree Moten
• Kayley Adrianna Munoz
• Dawn Yvette Murray
• Hasib Mustamandi
• Erika Nelson, MS PPS
• Leonard Alexander Newman, MD
• Ronald Stephen Newman, D.C.
• Darren Jonathan NG, O.D.
• Thang Duc Nguyen, DDS

• Pediatric Dentistry in Hercules, CA
• Providers in Hercules, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.