Active NPI
Poonum Bharal
- Dentist
- Midlothian, VA
National Provider Identifier
1740604222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412852
- Practice address
- 6510 Harbour View CT
Midlothian, VA 23112-6559 - Phone
- (804) 739-6500
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401412852 | VA | Primary |
Addresses
Primary practice location
6510 Harbour View CT
Midlothian, VA 23112-6559
Mailing address
6510 Harbour View CT
Midlothian, VA 23112-6559
Phone (804) 739-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 23, 2016 through Sep 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412852 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1740604222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 HARBOUR VIEW CT",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126559",
"telephone_number": "804-739-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 HARBOUR VIEW CT",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126559",
"telephone_number": "804-739-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHARAL",
"first_name": "POONUM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.