Active NPI
Mandeep Singh Randhawa, D.D.S.
- General Practice Dentistry
- El Dorado Hills, CA
National Provider Identifier
1043449945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58455
- Practice address
- 2205 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3943 - Phone
- (916) 934-0207
- Fax
- (916) 934-0214
- NPI assigned
- Jul 13, 2009
- Last updated
- Jul 13, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58455 | CA | Primary |
Addresses
Primary practice location
2205 Francisco Dr Ste 150
El Dorado Hills, CA 95762-3943
Mailing address
5121 Alderberry Way
Sacramento, CA 95835-1382
Phone (916) 813-7682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B D Buehler Dental Corporation | Past | Accepting new patients |
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.
-
dba Green Valley Dental Group and Orthodontics
- Dentist
- El Dorado Hills, CA
- NPI 1851510341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1043449945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 ALDERBERRY WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351382",
"telephone_number": "916-813-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 FRANCISCO DR STE 150",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623943",
"telephone_number": "916-934-0207",
"fax_number": "916-934-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDHAWA",
"first_name": "MANDEEP",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.