Active NPI
Preeti Sidhu, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pearland, TX
National Provider Identifier
1154719185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 28515
- Practice address
- 2811 Business Center Dr Ste 105
Pearland, TX 77584-4161 - Phone
- (713) 340-1418
- NPI assigned
- Dec 29, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 28515 | TX | Primary |
Addresses
Primary practice location
2811 Business Center Dr Ste 105
Pearland, TX 77584-4161
Mailing address
5518 King Plains Creek LN
Sugar Land, TX 77479-7067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161021000845 | TX | Order and Referring Only - Dentist | 6507144888 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Pearland Modern Dentistry, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sugar Land, TX
- NPI 1952296832
-
- General Practice Dentistry
- Pearland, TX
- NPI 1265798367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1154719185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5518 KING PLAINS CREEK LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774797067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 BUSINESS CENTER DR STE 105",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844161",
"telephone_number": "713-340-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "PREETI",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-29",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "28515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.