Individual provider Active NPI

Natasha Bhalla, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Woburn, MA
National Provider Identifier
1801272901
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1859979 Issued in MA
Practice address
474 Main St
Woburn, MA 01801-4236
Phone
(781) 604-3999
NPI assigned
Jul 31, 2015
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 058911 NY
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN1859979 MA Primary

Addresses

Primary practice location

474 Main St
Woburn, MA 01801-4236

Mailing address

474 Main St
Woburn, MA 01801-4236
Phone (781) 604-3999

Other practice location 1

14 W Central St
Natick, MA 01760-4514
Phone (508) 720-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1859979MAMDOral and Maxillofacial Surgery (Dentist)
058911NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Woburn Dentistry PC Oral and Maxillofacial Surgery CurrentSince Jan 28, 2024 Accepting new patients
Natick Family Dental PC Oral and Maxillofacial Surgery PastSince Jan 10, 2021 Accepting new patients
Hanson Place Dental Associates LLP Single Specialty PastSince Feb 1, 2016 Accepting new patients

Locations

474 Main St
Woburn, MA 01801
Phone (781) 604-3999

Interoperability endpoints

  • Direct secure messaging: nbhalla106786@tuftsmedicine.direct-ci.com

Organizations & group practices 3

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1801272901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014236",
            "telephone_number": "781-604-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014236",
            "telephone_number": "781-604-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 W Central St",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017604514",
            "country_code": "US",
            "telephone_number": "508-720-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058911",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1859979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.