Sukhjit S. Purewal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43236 Issued in CA

Practice address

1150 E Almond Ave
Madera, CA 93637-5642

Phone

(559) 674-9122

NPI assigned

May 23, 2007

Last updated

Jun 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1053521468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375642",
            "telephone_number": "559-674-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375642",
            "telephone_number": "559-674-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUREWAL",
        "first_name": "SUKHJIT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Heribertha Provencio, MA CCC-SLP
• Aime Puentes
• David L Pugatch, MD
• Hannah Leah Pulido, MD
• Lila Pulliam
• Fadi Qader, PHARM.D.
• Rabia Qaiser
• Zainab Qaiser
• Esther Qasem
• Qianmin Wang DDS,Inc

• General Practice Dentistry in Madera, CA
• Providers in Madera, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.