Active NPI
Neha Bhardwaj
- Dentist
- Grand Rapids, OH
National Provider Identifier
1962887810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.024570
- Practice address
- 24163 Front St
Grand Rapids, OH 43522-9408 - Phone
- (419) 564-7213
- NPI assigned
- Jul 21, 2015
- Last updated
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 30.024570 | OH | Primary |
Addresses
Primary practice location
24163 Front St
Grand Rapids, OH 43522-9408
Mailing address
26765 Carronade Dr Apt 3206
Perrysburg, OH 43551-6421
Phone (937) 546-3818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20170404000565 | MI | Order and Referring Only - Dentist | 4183900202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024570 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1962887810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26765 CARRONADE DR APT 3206",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435516421",
"telephone_number": "937-546-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24163 FRONT ST",
"city": "GRAND RAPIDS",
"state": "OH",
"postal_code": "435229408",
"telephone_number": "419-564-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHARDWAJ",
"first_name": "NEHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.024570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.