Sahejpreet Kaur, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS109755 Issued in CA

Practice address

1620 E 2ND St
Beaumont, CA 92223-3171

Phone

(951) 477-9868

NPI assigned

Aug 22, 2023

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1336923267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 DWYER AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237517",
            "telephone_number": "951-477-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 2ND ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233171",
            "telephone_number": "951-477-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Gateway oral health center",
            "address_2": "720 S River Rd suite b-210",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "84790",
            "country_code": "US",
            "telephone_number": "435-656-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SAHEJPREET",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "13456707-9921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS109755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerilynn Sue Kaibel, D.C.
• Karon Elaine Kanadjian
• Imadeddin Karaze, RPH
• Navdeeppal Kaur, RN
• Prabhjot Kaur, DDS
• Ashley Keaton
• Lenah Kebaso
• Leslie Ann Kelly, LVN
• Penny Key, LMFT
• Lydia Nasimiyu Khakali

• General Practice Dentistry in Beaumont, CA
• Providers in Beaumont, 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 Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.