Individual provider Active NPI

Sumit Nijhawan, DDS, MD, FACS

  • Oral and Maxillofacial Surgery (Dentist)
  • Mountain View, CA
National Provider Identifier
1326369042
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
64421 Issued in CA
Practice address
105 South Dr Ste 130
Mountain View, CA 94040-4317
Phone
(650) 938-7703
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 64421 CA Primary

Addresses

Primary practice location

105 South Dr Ste 130
Mountain View, CA 94040-4317

Mailing address

105 South Dr Ste 130
Mountain View, CA 94040-4317
Phone (650) 938-7703

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64421CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1326369042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTH DR STE 130",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404317",
            "telephone_number": "650-938-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTH DR STE 130",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404317",
            "telephone_number": "650-938-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIJHAWAN",
        "first_name": "SUMIT",
        "name_prefix": "Dr.",
        "credential": "DDS, MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "64421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.