Preetkamal Sidhu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101111 Issued in CA

Practice address

4690 Natomas Blvd Ste 100
Sacramento, CA 95835-2230

Phone

(916) 515-4500

NPI assigned

Sep 9, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoang and Rho Dental Corporation

  dba Park Place Dental Group

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1326133190
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205383999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 NATOMAS BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 NATOMAS BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352230",
            "telephone_number": "916-515-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E William Cannon Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787456646",
            "country_code": "US",
            "telephone_number": "512-926-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "PREETKAMAL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32237",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurleen Sidhu, M.D.
• Mehikpreet Sidhu
• Payal Sidhu
• Prabdit Singh Sidhu, MD
• Prabhdeep Sidhu
• Ramanpreet Kaur Sidhu, FNP-C
• Simranjot Kaur Sidhu, RN
• Sukhwinder Kaur Sidhu, PHARMD
• Tarunjeet Kaur Sidhu, D.P.T
• Marhaba Sidiqui

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• 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.