Komal Sidhu

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS100639 Issued in CA

Practice address

1915 4TH St
Livermore, CA 94550

Phone

(917) 854-0088

NPI assigned

May 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1326427840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 1ST ST # 105",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945514915",
            "telephone_number": "917-854-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "917-854-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5473 N Salinas Ave Apt 152",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937226473",
            "country_code": "US",
            "telephone_number": "917-854-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "KOMAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040473",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda T Shiraishi, RN, FNP, CWON
• Michelle Shoji-Lee, PHARM.D.
• Shortz Chiropractic Apc
• Jamie Shortz, DC, MS
• Melinda Joy Shrock, MFT1
• Mariah Jeanne Siebers, RPH
• Lupeaka Silatolu
• Silhouette Medical Group
• Darryl Arthur Silva, LCSW
• Suzanne Silva, NPF

• General Practice Dentistry in Livermore, CA
• Providers in Livermore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.