NPIMap

Organization Active NPI

Naznin Bholat DDS, a Dental Corporation

  • General Practice Dentistry
  • Lake Elsinore, CA
National Provider Identifier
1891114609
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61123 Issued in CA
Legal business name
NAZNIN BHOLAT DDS, A DENTAL CORPORATION
Practice address
31581 Canyon Estates Dr Ste 201
Lake Elsinore, CA 92532-0424
Phone
(805) 405-1730
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Naznin Bholat, DDSNPI 1225358161
Title
Owner
Phone
(805) 405-1730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 61123 CA Primary

Addresses

Primary practice location

31581 Canyon Estates Dr Ste 201
Lake Elsinore, CA 92532-0424

Mailing address

31581 Canyon Estates Dr Ste 201
Lake Elsinore, CA 92532-0424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1891114609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31581 CANYON ESTATES DR STE 201",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31581 CANYON ESTATES DR STE 201",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320424",
            "telephone_number": "805-405-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZNIN BHOLAT DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "BHOLAT",
        "authorized_official_first_name": "NAZNIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-405-1730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.