Active NPI
Vihar Pravin Bhakta, D.M.D
- General Practice Dentistry
- Lynwood, CA
National Provider Identifier
1740489046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55426
- Practice address
- 10907 Atlantic Ave
Lynwood, CA 90262-2310 - Phone
- (310) 988-6373
- NPI assigned
- Jul 16, 2007
- Last updated
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55426 | CA | Primary |
Addresses
Primary practice location
10907 Atlantic Ave
Lynwood, CA 90262-2310
Mailing address
10907 Atlantic Ave
Lynwood, CA 90262-2310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160310000589 | CA | Order and Referring Only - Dentist | 2466758800 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55426 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jardosh DDS and Bhakta DMD Dental Corporation | General Practice | Current | Accepting new patients |
| DW Cho Dental Corporation | General Practice | Current | Accepting new patients |
| Vihar Bhakta Dental Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Allstar Dental Group
- General Practice Dentistry
- Los Angeles, CA
- NPI 1891442927
-
- General Practice Dentistry
- Cudahy, CA
- NPI 1831886126
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1336370840
-
dba Diamond Dental Group
- Point of Service
- Lynwood, CA
- NPI 1962688903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1740489046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10907 ATLANTIC AVE",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10907 ATLANTIC AVE",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622310",
"telephone_number": "310-988-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "VIHAR",
"middle_name": "PRAVIN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.