Goutom Kumar Saha Bhowmick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416226 Issued in VA

Practice address

2040 Coliseum Dr # A27
Hampton, VA 23666-3200

Phone

(312) 274-4531

NPI assigned

Aug 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1891275111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TIDE MILL LN APT 15B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662725",
            "telephone_number": "347-255-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 COLISEUM DR # A27",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663200",
            "telephone_number": "312-274-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOWMICK",
        "first_name": "GOUTOM",
        "middle_name": "KUMAR SAHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel Helping Hands Assisated Living Inc.
• Bethel P.C.
• Better Life Services, Inc.
• Ronald Devin Beverly, LPC,LSATP,CFAE
• Chiragkumar Bharodiya
• Nirjhor Bhowmik, M.D.
• Stephanie Alexandra Bice, LCSW
• Sharon Bielecki
• Bird on a Wire, LLC
• Brett David Birkmeyer, FNP-C

• General Practice Dentistry in Hampton, VA
• Providers in Hampton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.