Jasbir Deol Upadhyaya, BDS, MSC, PHD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

136000233 Issued in IL

Practice address

2800 College Ave
Alton, IL 62002-4742

Phone

(352) 214-5810

Fax

(618) 474-7140

NPI assigned

Feb 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Siu Dental Associates

  • General Practice Dentistry
  • Edwardsville, IL
  • NPI 1659957850

  Oral and Maxillofacial Pathology

  NPD
• Southern Illinois University Edwardsville School of Dental Medicine

  • General Practice Dentistry
  • Alton, IL
  • NPI 1215912696
  NPD (past)
• Southern Illinois University Edwardsville School of Dental Medicine

  • Dentist
  • E St Louis, IL
  • NPI 1760467146
  NPD (past)

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1225496565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024742",
            "telephone_number": "352-214-5810",
            "fax_number": "618-474-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024742",
            "telephone_number": "352-214-5810",
            "fax_number": "618-474-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 University Park Dr",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253645",
            "country_code": "US",
            "telephone_number": "618-650-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPADHYAYA",
        "first_name": "JASBIR",
        "middle_name": "DEOL",
        "name_prefix": "Dr.",
        "credential": "BDS, MSC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "IL",
            "license": "136000233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amori Turner, MS
• Geoffrey L. Turner, MD
• Simone Turner, BA
• Dianne Lee Turpen, MS, SLP
• Anne Ugabi, MD
• Upper Cervical Care of Alton LLC
• Achint Utreja, DDS
• Madhusudan Vallala, MD
• Maren Valyo, CF-SLP
• Kelly Van, RN

• Oral and Maxillofacial Pathology Dentistry in Alton, IL
• Providers in Alton, IL by specialty
• Oral and Maxillofacial Pathology Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.