Amandeep Sachdeva, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11851 Issued in MN

Practice address

11995 County Road 11 Ste 110
Burnsville, MN 55337-5106

Phone

(201) 377-8608

Fax

(952) 426-0960

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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.

• Deerwood Dental, Inc

  • Clinic/Center
  • Deerwood, MN
  • NPI 1730262585
  NPD (past)
• Northland Smiles Corporation PA

  • Clinic/Center
  • Deerwood, MN
  • NPI 1043567357
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1194834283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 COUNTY ROAD 11 STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375106",
            "telephone_number": "201-377-8608",
            "fax_number": "952-426-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 COUNTY ROAD 11 STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375106",
            "telephone_number": "201-377-8608",
            "fax_number": "952-426-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEVA",
        "first_name": "AMANDEEP",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490638100",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "happysmilesdentistry@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11995 County Road 11 Ste 110",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553375106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Lavonne Rustvang
• Christine Carroll Ryan, FNP-C
• S&a Transportation LLC
• S&R Homecare and Staffing LLC
• Christopher J Sabal
• Safe Step Tubs of MN
• Safehome Support L.L.C.
• Safeway LLC
• Sage Prairie
• Emily Sagstetter

• General Practice Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.