Active NPI
Navdeep Singh Sandhu, DDS
- Dental Anesthesiology
- Chantilly, VA
National Provider Identifier
1215098447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 0401414064
- Practice address
- 42106 Pemberly CT
Chantilly, VA 20152-5982 - Phone
- (510) 329-9554
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 0401414064 | VA | Primary |
| Dentist | 122300000X | 54674 | CA | |
| Dentist | 122300000X | 0401414064 | VA |
Addresses
Primary practice location
42106 Pemberly CT
Chantilly, VA 20152-5982
Mailing address
42106 Pemberly CT
Chantilly, VA 20152-5982
Phone (510) 329-9554
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414064 | VA | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757203200000",
"number": "1215098447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42106 PEMBERLY CT",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201525982",
"telephone_number": "510-329-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42106 PEMBERLY CT",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201525982",
"telephone_number": "510-329-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "NAVDEEP",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2025-09-07",
"certification_date": "2025-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "VA",
"license": "0401414064",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54674",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414064",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.