NPIMap

Organization Active NPI

Jaspreet S Sidhu DMD Corp

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1225545486
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JASPREET S SIDHU DMD CORP
Practice address
8422 W Capitol Dr
Milwaukee, WI 53222-1825
Phone
(414) 461-4140
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ka Vang
Title
Office Manager
Phone
(414) 461-4140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8422 W Capitol Dr
Milwaukee, WI 53222-1825

Mailing address

8422 W Capitol Dr
Milwaukee, WI 53222-1825
Phone (414) 461-4140

Other practice location 1

1417 S 108th St
Milwaukee, WI 53214-4012
Phone (414) 771-5588

Other names 1

  • CAPITOL FAMILY DENTAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capitol Family Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1225545486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221825",
            "telephone_number": "414-461-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221825",
            "telephone_number": "414-461-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 S 108th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532144012",
            "country_code": "US",
            "telephone_number": "414-771-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JASPREET S SIDHU DMD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "KA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-461-4140"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPITOL FAMILY DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAPITOL FAMILY DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • 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.