Individual provider Active NPI

Bharath Ramesh Kumar, DDS

  • Dentist
  • Vernon, CT
National Provider Identifier
1811512833
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12785 Issued in CT
Practice address
35 Talcottville Rd
Vernon, CT 06066-5261
Phone
(860) 896-9000
NPI assigned
Jun 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12785 CT Primary

Addresses

Primary practice location

35 Talcottville Rd
Vernon, CT 06066-5261

Mailing address

11 Talcott Forest Rd Apt a
Farmington, CT 06032-3545
Phone (571) 355-5215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200818003919 CT Order and Referring Only - DentistPractitioner - Dentist 2365868544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12785CTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1811512833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TALCOTT FOREST RD APT A",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323545",
            "telephone_number": "571-355-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "860-896-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMESH KUMAR",
        "first_name": "BHARATH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.