Individual provider Active NPI

Supreet Kaur Dhillon, B.D.S., DMD

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1134580541
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101396 Issued in CA
Practice address
8211 Bruceville Rd Ste 155
Sacramento, CA 95823-2313
Phone
(916) 525-7724
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 101396 CA Primary

Addresses

Primary practice location

8211 Bruceville Rd Ste 155
Sacramento, CA 95823-2313

Mailing address

4355 Town Center Blvd Ste 211
El Dorado Hills, CA 95762-7115
Phone (530) 802-0031

Other practice location 1

150 55th St
Brooklyn, NY 11220-2508
Phone (718) 630-6816

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
101396CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ranbir Singh, DMD Dental Corp. Current 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": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134580541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 TOWN CENTER BLVD STE 211",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627115",
            "telephone_number": "530-802-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 BRUCEVILLE RD STE 155",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232313",
            "telephone_number": "916-525-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 55th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202508",
            "country_code": "US",
            "telephone_number": "718-630-6816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "SUPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "B.D.S., DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.