Avinash S Bidra, BDS, MS, FACP

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

010160 Issued in CT

Practice address

300 Hebron Ave Ste 112
Glastonbury, CT 06033-2176

Phone

(860) 659-8660

Fax

(860) 633-6229

NPI assigned

Jul 16, 2009

Last updated

Oct 8, 2025By the provider in NPPES

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1982834529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE STE 112",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332176",
            "telephone_number": "860-659-8660",
            "fax_number": "860-633-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE STE 112",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332176",
            "telephone_number": "860-659-8660",
            "fax_number": "860-633-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDRA",
        "first_name": "AVINASH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "BDS, MS, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CT",
            "license": "010160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard G Bevilacqua, D.M.D., M.D.
• Amy Bevins
• Carey A Beyor, LMFT
• BH Salmon Brook LLC (Civita Care Center at Salmon Brook)
• Bharat Bhushan, ARNP
• Karen Bidwell, PT
• Rosanne Bisi, LMT
• E. Lawrence Blackwell Jr., LCSW, CAC
• Edward Andrew Blanchette, M.D.
• Megan Marie Blanchette, AU.D.

• Prosthodontics in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Prosthodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.

Verify at the official NPI Registry.