Individual provider Active NPI

Bhoomika Ahuja, BDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Riverside, CA
National Provider Identifier
1851645329
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401413501 Issued in VA
Practice address
3719 Arlington Ave Ste 2
Riverside, CA 92506-2653
Phone
(951) 530-8585
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401413501 VA Primary

Addresses

Primary practice location

3719 Arlington Ave Ste 2
Riverside, CA 92506-2653

Mailing address

3719 Arlington Ave Ste 2
Riverside, CA 92506-2653
Phone (951) 530-8585

Other practice location 1

1704 Alameda St
Pomona, CA 91768-1727
Phone (909) 622-4512

Other practice location 2

1000 E Washington St Ste E
Colton, CA 92324-4186
Phone (909) 783-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160105002083 MD Order and Referring Only - DentistPractitioner - Dentist 8022310234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401413501VAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.H.C.Ahuja DDS a P C Orthodontics and Dentofacial Orthopedics CurrentSince Nov 12, 2023 Accepting new patients
Dr.H.C.Ahuja DDS a P C Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

3719 Arlington Ave
Ste 2
Riverside, CA 92506
Phone (951) 530-8585

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1851645329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 ARLINGTON AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062653",
            "telephone_number": "951-530-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 ARLINGTON AVE STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062653",
            "telephone_number": "951-530-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Alameda St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917681727",
            "country_code": "US",
            "telephone_number": "909-622-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Washington St Ste E",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923244186",
            "country_code": "US",
            "telephone_number": "909-783-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "BHOOMIKA",
        "credential": "BDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401413501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.