1588856330 NPI number — NILKANTH ALIAS NEEL BHALCHANDRA BHATAVADEKAR B.D.S, M.S, M.P.H.

NPI Number: 1588856330
Health Care Provider/Practitioner: NILKANTH ALIAS NEEL BHALCHANDRA BHATAVADEKAR B.D.S, M.S, M.P.H.

NPI Number : 1588856330 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588856330",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BHATAVADEKAR",
    "FirstName": "NILKANTH ALIAS NEEL",
    "MiddleName": "BHALCHANDRA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "B.D.S, M.S, M.P.H.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7550 KIRBY DR APT 635",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77030-4368",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-870-0636",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6516 M D ANDERSON BLVD STE 309",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77030-3402",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-500-4388",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/15/2007",
    "LastUpdateDate": "08/15/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223P0300X",
        "TaxonomyName": "Periodontics",
        "LicenseNumber": "APPLIED",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}