Gunnroop Sidhu, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

100957 Issued in CA

Practice address

26938 The Old Rd
Valencia, CA 91381-0662

Phone

(661) 799-0886

NPI assigned

Jun 22, 2016

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elie Professional Dental Corporation

  • Dentist
  • Valencia, CA
  • NPI 1093157042
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1114377041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 COLBY AVE",
            "address_2": "APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253077",
            "telephone_number": "917-318-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26938 THE OLD RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913810662",
            "telephone_number": "661-799-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GUNNROOP",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farheen Shirazi, M.D.
• Jensen Taylor Shrout
• Muhammad Tajuddin Shuaib
• Theodore Benjamin Shybut, MD
• Ritu K Shye
• Sabrin Kaur Sidhu, MD
• Christina Trujillo Sieren, B.A., M.S.W., LCSW
• Brianna Silva
• Alan A Silver, MD
• Howard Singer, M.D.

• Dentist in Valencia, CA
• Providers in Valencia, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.