Sierra Foothills Oral & Maxillofacial Surgery Group

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

37070 Issued in WI

Legal business name

SIERRA FOOTHILLS ORAL & MAXILLOFACIAL SURGERY GROUP

Practice address

2350 Professional Drive
Suite 400
Roseville, CA 95661-7747

Phone

(916) 786-3930

Fax

(916) 786-2435

NPI assigned

Dec 24, 2009

Organization subpart

No

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

Authorized official

Name

Barbara Curtis

Title

Business Manager

Phone

(707) 279-2193

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gordon W. Crucikshank, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Folsom, CA
  • NPI 1902001191
  NPD (past)
• Brian Harris, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1881848141
  NPD (past)

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1093044927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 PROFESSIONAL DRIVE",
            "address_2": "SUITE 400",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617747",
            "telephone_number": "916-786-3930",
            "fax_number": "916-786-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 PROFESSIONAL DRIVE",
            "address_2": "SUITE 400",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617747",
            "telephone_number": "916-786-3930",
            "fax_number": "916-786-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA FOOTHILLS ORAL & MAXILLOFACIAL SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "707-279-2193"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "37070",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "58195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardeep K Sidhu, DDS
• Jasleen Kaur Sidhu, RPH
• Kirandip Kaur Sidhu, NP
• Decimah Mutende Sidori, RN,
• Monica Sieber
• Sierra Health and Wellness Centers LLC
• Sierra Hills Care Center, Inc.
• Sierra Medical Partnership
• Sierra Medical Partnership
• Sierra Mental Wellness Group

• Oral and Maxillofacial Surgery (Dentist) in Roseville, CA
• Providers in Roseville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.

Verify at the official NPI Registry.