Individual provider Active NPI

Simardeep Kaur Hehar, DDS

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1215772553
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110249 Issued in CA
Practice address
6623 N Riverside Dr Ste 101
Fresno, CA 93722-9325
Phone
(559) 547-3120
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 110249 CA Primary

Addresses

Primary practice location

6623 N Riverside Dr Ste 101
Fresno, CA 93722-9325

Mailing address

97 McKenna Ave
Kerman, CA 93630-2046
Phone (559) 512-9344

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

LicenseStateTypeSpecialty
110249CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ghazal and Lambridis Dental Corporation General Practice PastSince Jun 30, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1215772553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MCKENNA AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936302046",
            "telephone_number": "559-512-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6623 N RIVERSIDE DR STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229325",
            "telephone_number": "559-547-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEHAR",
        "first_name": "SIMARDEEP",
        "middle_name": "KAUR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.