Active NPI
Prabhdeep Kaur Sandhu
- General Practice Dentistry
- Vero Beach, FL
National Provider Identifier
1073246401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN27027
- Practice address
- 3755 7TH Ter Ste 303
Vero Beach, FL 32960-6547 - Phone
- (772) 226-6888
- NPI assigned
- Jul 4, 2022
- Last updated
- Dec 14, 2022
- Sex
- Female
- 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 | DN27027 | FL | Primary |
Addresses
Primary practice location
3755 7TH Ter Ste 303
Vero Beach, FL 32960-6547
Mailing address
725 23Rd Ave
Vero Beach, FL 32962-1313
Phone (716) 803-9810
Other practice location 1
3790 7th Ter Ste 201
Vero Beach, FL 32960-6503
Phone (772) 569-4118
Other practice location 2
7777 N Wickham Rd
Melbourne, FL 32940-7976
Phone (770) 517-2772
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | phonecall | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN27027 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1073246401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 23RD AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329621313",
"telephone_number": "716-803-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 7TH TER STE 303",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606547",
"telephone_number": "772-226-6888"
}
],
"practiceLocations": [
{
"address_1": "3790 7th Ter Ste 201",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329606503",
"country_code": "US",
"telephone_number": "772-569-4118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7777 N Wickham Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329407976",
"country_code": "US",
"telephone_number": "770-517-2772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDHU",
"first_name": "PRABHDEEP",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-04",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN27027",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "phonecall",
"affiliation": "N",
"endpointDescription": "we communicate via phone call Fax",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3790 7th Ter Ste 201",
"city": "Vero Beach",
"state": "FL",
"country_code": "US",
"postal_code": "329606503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.