Individual provider Active NPI

Bhavesh B. Bhakta, DDS

  • General Practice Dentistry
  • Hutto, TX
National Provider Identifier
1780858688
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24465 Issued in TX
Practice address
201 E Wilco Hwy Ste 203
Hutto, TX 78634-2739
Phone
(512) 599-0200
Fax
(512) 519-7704
NPI assigned
Apr 22, 2008
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 24465 TX Primary

Addresses

Primary practice location

201 E Wilco Hwy Ste 203
Hutto, TX 78634-2739

Mailing address

105 Azimuth Dr
Austin, TX 78717-4953
Phone (512) 825-9921

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
I20170517002572 TX Practitioner - Oral Surgery 9739456096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24465TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bhakta Implant Center of Houston PLLC CurrentSince Sep 28, 2025 Accepting new patients
M Sylvester Gonzales DDS PA Past Accepting new patients

Locations

201 E Wilco Hwy
Ste 203
Hutto, TX 78634
Phone (512) 599-0200

707 S Fry Rd
Ste 150
Katy, TX 77450
Phone (281) 646-4200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1780858688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AZIMUTH DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174953",
            "telephone_number": "512-825-9921",
            "fax_number": "512-519-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WILCO HWY STE 203",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786342739",
            "telephone_number": "512-599-0200",
            "fax_number": "512-519-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "BHAVESH",
        "middle_name": "B.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutto, TX

Sources for this page

Verify at the official NPI Registry.