Dharmendra N. Bhakta, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2465 Issued in AZ

Practice address

7725 N 43Rd Ave Ste 111
Phoenix, AZ 85051-5775

Phone

(623) 463-8556

Fax

(623) 463-6654

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forty-Third Medical Associates, PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1982750600
  Medicare reassignment
• Clearpath Family Health LTD

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1225356157
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780772319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515775",
            "telephone_number": "623-463-8556",
            "fax_number": "623-463-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515775",
            "telephone_number": "623-463-8556",
            "fax_number": "623-463-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "DHARMENDRA",
        "middle_name": "N.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bfphx Medical Group LLC
• BGH Pharmacy
• BH Hospital Specialists, LLC
• Pracheta Bhagat, MD
• Anand S Bhakta, DC
• Dharti Bhakta, PHARMD
• Dharti J Bhakta, D.D.S.
• Punam Bhakta, N.P.
• Samit Bhakta, M.D.
• Tina B Bhakta, PHARM.D.

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.