Active NPI
Natasha Bhalla, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Woburn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN1859979
- Practice address
- 474 Main St
Woburn, MA 01801-4236 - Phone
- (781) 604-3999
- NPI assigned
- Jul 31, 2015
- Last updated
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 058911 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859979 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 058911 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woburn Dentistry PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Natick Family Dental PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Hanson Place Dental Associates LLP | Single Specialty | Past | Accepting new patients |
Locations
474 Main St
Woburn, MA 01801
Phone (781) 604-3999
Interoperability endpoints
- 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.
-
dba Woburn Dentistry
- Dentist
- Woburn, MA
- NPI 1386424786
Oral and Maxillofacial Surgery
-
dba Natick Family Dental
- Dentist
- Natick, MA
- NPI 1396210449
Oral and Maxillofacial Surgery
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.