Active NPI
Bastian Andres Rojas Espinoza, DDS
- Prosthodontics
- Bloomington, IL
National Provider Identifier
1780292680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D00146
- Practice address
- 1507 N Veterans Pkwy Ste 1
Bloomington, IL 61704-0916 - Phone
- (309) 664-6666
- NPI assigned
- Jul 16, 2020
- Last updated
- Jun 23, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.033929 | IL | |
| Prosthodontics | 1223P0700X | D00146 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 12836 | CT |
Addresses
Primary practice location
1507 N Veterans Pkwy Ste 1
Bloomington, IL 61704-0916
Mailing address
1507 N Veterans Pkwy Ste 1
Bloomington, IL 61704-0916
Phone (309) 664-6666
Other practice location 1
800 Rose St
Lexington, KY 40536-0297
Phone (859) 323-3368
Other practice location 2
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brojasexpinoza38221@direct.med.uchc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20200820001987 | CT | Order and Referring Only - Dentist | 1456777499 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033929 | IL | MD | General Practice Dentistry |
| D00146 | KY | MD | Prosthodontist |
Interoperability endpoints
- brojasexpinoza38221@direct.med.uchc.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1780292680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 N VETERANS PKWY STE 1",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617040916",
"telephone_number": "309-664-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 N VETERANS PKWY STE 1",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617040916",
"telephone_number": "309-664-6666"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360297",
"country_code": "US",
"telephone_number": "859-323-3368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060300001",
"country_code": "US",
"telephone_number": "860-679-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROJAS ESPINOZA",
"first_name": "BASTIAN",
"middle_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.033929",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "KY",
"license": "D00146",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "12836",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brojasexpinoza38221@direct.med.uchc.edu",
"affiliation": "N",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060300001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.