Individual provider Active NPI

Prabhdeep Kaur Sandhu

  • General Practice Dentistry
  • Vero Beach, FL
National Provider Identifier
1073246401
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN27027 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
DN27027FLMDGeneral 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.

Verify at the official NPI Registry.