Individual provider Active NPI

Jayganesh Manoj Bhatt, D.D.S

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1881887362
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
BB9405689 Issued in AZ
Practice address
3341 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8501
Phone
(480) 305-3200
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X BB9405689 AZ Primary

Addresses

Primary practice location

3341 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8501

Mailing address

3341 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8501
Phone (480) 305-3200

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
BB9405689AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Dental Offices LLC General Practice PastSince Aug 14, 2022 Accepting new patients
Serenity Dental Dentist Past Accepting new patients

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, 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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1881887362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978501",
            "telephone_number": "480-305-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978501",
            "telephone_number": "480-305-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "JAYGANESH",
        "middle_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "BB9405689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.