Individual provider Active NPI

Navdeep Sandhu, DDS

  • Dentist
  • Centerville, OH
National Provider Identifier
1134417033
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.023513 Issued in OH
Practice address
6040 Wilmington Pike
Bright Now Dental
Centerville, OH 45459-7006
Phone
(937) 848-3024
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.023513 OH Primary

Addresses

Primary practice location

6040 Wilmington Pike
Bright Now Dental
Centerville, OH 45459-7006

Mailing address

6040 Wilmington Pike
Bright Now Dental
Centerville, OH 45459-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150729010331 CA Order and Referring Only - DentistPractitioner - Dentist 9739493172
I20160310001357 OH Order and Referring Only - DentistPractitioner - Dentist 9739493172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dental Professionals - Sandhu, Inc. Dentist PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1134417033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 WILMINGTON PIKE",
            "address_2": "BRIGHT NOW DENTAL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 WILMINGTON PIKE",
            "address_2": "BRIGHT NOW DENTAL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597006",
            "telephone_number": "937-848-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "NAVDEEP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.