DR. SARATH N. BACHALI (NPI# 1487942777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487942777 |
| Entity Type | Individual |
| Full Name | DR. SARATH N. BACHALI |
| Credential | DMD |
| Practice Address |
621 Broadway St Portsmouth OH 45662-4788 |
| Practice Telephone | 7403704234 |
| Mailing Telephone | 7403704234 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2014-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9096 | KY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9096 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100172380 | 05 |
| Street Address |
621 BROADWAY ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669733 | Carolyn L Berry-pettit | Clinical Nurse Specialist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2006-05-23 |
| 1578974929 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2014-05-19 |
| 1790116218 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2013-12-09 |
| 1992131445 | Calvin Caleb Evans | Registered Nurse | 621 Broadway St, Portsmouth, OH 45662-4788 | 2013-09-16 |
| 1851609549 | Bridget M Ehrhart-bennett | Nurse Practitioner | 621 Broadway St, Portsmouth, OH 45662-4788 | 2010-09-16 |
| 1215128715 | John Loudermilk | Dentist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
| 1265860928 | Dynamic Dental Health Associates of Virginia,pc | Dentist | 4107 Portsmouth Blvd # 107, Portsmouth, VA 23701-2915 | 2013-10-16 |
| 1093002628 | Jillian M Harrison | Dentist | 875 Greenland Rd Unit B7, Portsmouth, NH 03801 | 2011-07-04 |
| 1750616298 | Stanley P. Tompkins | Dentist | 5830 Trucker Street, Portsmouth, VA 23703 | 2009-10-15 |
| 1881824274 | Daniel Jacob Fuhrmann | Dentist | 609 John Paul Jones Circle, Portsmouth, VA 23708 | 2009-07-20 |
| 1316119373 | Jenkins Dental Group | Dentist | 3349 Portsmouth Blvd, Portsmouth, VA 23701-3023 | 2008-03-31 |
| 1538337324 | Augustus Nogueira Jr. | Dentist | 21 King Charles Dr, Portsmouth, RI 02871-1343 | 2008-02-14 |
| 1851589899 | Ocean Shades Dental | Dentist | 230 Lafayette Rd Ste C, Portsmouth, NH 03801-5465 | 2007-10-03 |
| 1518160795 | James Nelson Rhodes | Dentist | 1305 Rodman Ave, Portsmouth, VA 23707-3916 | 2007-06-06 |
| 1720200389 | William Walter Cox | Dentist | 5717 Churchland Blvd., Portsmouth, VA 23703 | 2007-05-03 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on DR. SARATH N. BACHALI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.