Active NPI
Beenabahen Harkhani
- Dentist
- Bonita Springs, FL
National Provider Identifier
1891148243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22187
- Practice address
- 26831 S Tamiami TRL
Suite-48
Bonita Springs, FL 34134-7823 - Phone
- (239) 948-3200
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22187 | FL | Primary |
Addresses
Primary practice location
26831 S Tamiami TRL
Suite-48
Bonita Springs, FL 34134-7823
Mailing address
11501 Plantation Preserve Cir S
Fort Myers, FL 33966-8370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170130001719 | FL | Order and Referring Only - Oral Surgery | 8426330317 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1891148243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 PLANTATION PRESERVE CIR S",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339668370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26831 S TAMIAMI TRL",
"address_2": "SUITE-48",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347823",
"telephone_number": "239-948-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKHANI",
"first_name": "BEENABAHEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.