Individual provider Active NPI

Simran Bhalla, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1952784837
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31174 Issued in TX
Practice address
3100 Independence Pkwy Ste 204
Plano, TX 75075-1996
Phone
(972) 915-0400
NPI assigned
Jul 9, 2015
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31174 TX Primary

Addresses

Primary practice location

3100 Independence Pkwy Ste 204
Plano, TX 75075-1996

Mailing address

3100 Independence Pkwy Ste 204
Plano, TX 75075-1996
Phone (972) 915-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160106000897 TX Order and Referring Only - DentistPractitioner - Dentist 4587966643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31174TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaur Dental PLLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

3100 Independence Pkwy
Ste 204
Plano, TX 75075
Phone (925) 890-6041

Organizations & group practices 1

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1952784837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 INDEPENDENCE PKWY STE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750751996",
            "telephone_number": "972-915-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 INDEPENDENCE PKWY STE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750751996",
            "telephone_number": "972-915-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "SIMRAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.