Individual provider Active NPI

Gowri Bilva

  • Dentist
  • Turlock, CA
National Provider Identifier
1801480298
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106005 Issued in CA
Practice address
Western Dental & Orthodontics
703 N Golden State BVL
Turlock, CA 95380
Phone
(209) 216-4198
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106005 CA Primary

Addresses

Primary practice location

Western Dental & Orthodontics
703 N Golden State BVL
Turlock, CA 95380

Mailing address

703 N Golden State BVL
Turlock, CA 95380
Phone (209) 216-4198

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
106005CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1801480298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N GOLDEN STATE BVL",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95380",
            "telephone_number": "209-216-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTERN DENTAL & ORTHODONTICS",
            "address_2": "703 N GOLDEN STATE BVL",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95380",
            "telephone_number": "209-216-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILVA",
        "first_name": "GOWRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.