Individual provider Active NPI

Beenabahen Harkhani

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1891148243
Registry record updated Dec 16, 2016
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22187 Issued in FL
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

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130001719 FL Order and Referring Only - Oral SurgeryPractitioner - 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

Verify at the official NPI Registry.