Active NPI
Tanvir Singh
- Dentist
- Roseville, CA
National Provider Identifier
1093536393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110846
- Practice address
- 258 Gibson Dr
Ste 110
Roseville, CA 95678 - Phone
- (916) 630-7633
- NPI assigned
- Oct 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 110846 | CA | Primary |
Addresses
Primary practice location
258 Gibson Dr
Ste 110
Roseville, CA 95678
Mailing address
1215 Plumas St
Ste 52
Yuba City, CA 95991
Phone (916) 630-7633
Other practice location 1
4053 E Morada Ln
Stockton, CA 95212-1608
Phone (209) 636-6699
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1093536393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 PLUMAS ST",
"address_2": "STE 52",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "95991",
"telephone_number": "916-630-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 GIBSON DR",
"address_2": "STE 110",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-630-7633"
}
],
"practiceLocations": [
{
"address_1": "4053 E Morada Ln",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952121608",
"country_code": "US",
"telephone_number": "209-636-6699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGH",
"first_name": "TANVIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-18",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.