Individual provider Active NPI

Arshdeep Sohi

  • Dentist
  • Burleson, TX
National Provider Identifier
1235537572
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30716 Issued in TX
Practice address
664 SW Wilshire Blvd
Burleson, TX 76028
Phone
(801) 440-2246
NPI assigned
Dec 19, 2014
Last updated
Apr 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30716 TX Primary

Addresses

Primary practice location

664 SW Wilshire Blvd
Burleson, TX 76028

Mailing address

5808 Bay Club Dr
Arlington, TX 76013-5210
Phone (801) 440-2246

Other practice location 1

420 Essex St
Lawrence, MA 01840-1214
Phone (801) 440-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812001913 TX Practitioner - Dentist 0547708323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30716TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Prodigious Dental PC CurrentSince Jun 30, 2024 Accepting new patients
Sanya Aria Dental PLLC Current Accepting new patients

Locations

664 SW Wilshire Blvd
Burleson, TX 76028
Phone (801) 440-2246

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1235537572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 BAY CLUB DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135210",
            "telephone_number": "801-440-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "801-440-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Essex St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401214",
            "country_code": "US",
            "telephone_number": "801-440-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOHI",
        "first_name": "ARSHDEEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.