Individual provider Active NPI

Jupneesh Singh, D.D.S.

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1154453553
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6360 Issued in AZ
Practice address
4215 W Dunlap Ave
Suite# 3
Phoenix, AZ 85051-3684
Phone
(623) 934-6400
Fax
(623) 934-6406
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6360 AZ Primary

Addresses

Primary practice location

4215 W Dunlap Ave
Suite# 3
Phoenix, AZ 85051-3684

Mailing address

4215 W Dunlap Ave
Suite# 3
Phoenix, AZ 85051-3684
Phone (623) 934-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20151001000505 AZ Order and Referring Only - DentistPractitioner - Dentist 8325356926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6360AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154453553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 W DUNLAP AVE",
            "address_2": "SUITE# 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513684",
            "telephone_number": "623-934-6400",
            "fax_number": "623-934-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 W DUNLAP AVE",
            "address_2": "SUITE# 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513684",
            "telephone_number": "623-934-6400",
            "fax_number": "623-934-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JUPNEESH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.