Individual provider Active NPI

Dilber Bulsara, BDS MPH

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1770864696
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26327 Issued in TX
Practice address
11100 Parkfield Dr
Austin, TX 78758-4263
Phone
(512) 339-7848
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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 26327 TX Primary

Addresses

Primary practice location

11100 Parkfield Dr
Austin, TX 78758-4263

Mailing address

3008 Cat Claw CV
Cedar Park, TX 78613-5548
Phone (512) 694-4187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180425000535 TX Order and Referring Only - DentistPractitioner - Dentist 0042573131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26327TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1770864696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 CAT CLAW CV",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135548",
            "telephone_number": "512-694-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 PARKFIELD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584263",
            "telephone_number": "512-339-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULSARA",
        "first_name": "DILBER",
        "name_prefix": "Dr.",
        "credential": "BDS MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.