Organization Active NPI

Sidhu Brar Dental Group Inc

  • General Practice Dentistry
  • Mountain House, CA
National Provider Identifier
1255270641
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SIDHU BRAR DENTAL GROUP INC
Practice address
1154 S Tradition St
Mountain House, CA 95391-8871
Phone
(209) 914-0659
NPI assigned
Mar 28, 2026
Last updated
Mar 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Amandeep Kaur Brar, DDS
Title
President
Phone
(209) 914-0659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1154 S Tradition St
Mountain House, CA 95391-8871

Mailing address

2419 Northington Dr
Tracy, CA 95377-8469

National Provider Directory

National Provider Directory

Locations

1154 S Tradition St
Mountain House, CA 95391
Phone (209) 650-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774656000000",
    "number": "1255270641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 NORTHINGTON DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S TRADITION ST",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953918871",
            "telephone_number": "209-914-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDHU BRAR DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-914-0659",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain House, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.