Active NPI
Jaskaran Kaur Sahota, DMD
- Dentist
- Colusa, CA
National Provider Identifier
1356028534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108916
- Practice address
- 360 5TH St
Colusa, CA 95932-2467 - Phone
- (530) 458-3614
- NPI assigned
- Jun 29, 2023
- Last updated
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108916 | CA | Primary |
Addresses
Primary practice location
360 5TH St
Colusa, CA 95932-2467
Mailing address
360 5TH St
Colusa, CA 95932-2467
Phone (530) 458-3614
Other practice location 1
4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240815004774 | CA | Order and Referring Only - Dentist | 6800334285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colusa Indian Community Council | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Colusa Indian Dental Clinic
- Dental Clinic/Center
- Colusa, CA
- NPI 1053880245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1356028534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 5TH ST",
"city": "COLUSA",
"state": "CA",
"postal_code": "959322467",
"telephone_number": "530-458-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 5TH ST",
"city": "COLUSA",
"state": "CA",
"postal_code": "959322467",
"telephone_number": "530-458-3614"
}
],
"practiceLocations": [
{
"address_1": "4815 Watt Ave",
"address_purpose": "LOCATION",
"city": "North Highlands",
"state": "CA",
"postal_code": "956605108",
"country_code": "US",
"telephone_number": "916-454-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAHOTA",
"first_name": "JASKARAN",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.