Active NPI
Harmandeep Singh Wadhwa, DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1376774851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24863
- Practice address
- 2828 Goliad Rd
Ste 120
San Antonio, TX 78223-3960 - Phone
- (210) 468-1743
- NPI assigned
- Aug 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24863 | TX | Primary |
Addresses
Primary practice location
2828 Goliad Rd
Ste 120
San Antonio, TX 78223-3960
Mailing address
8943 Cimarron Rte
San Antonio, TX 78255-2382
Phone (210) 858-6001
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24863 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wadhwa Dental PA | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1598216038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1376774851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8943 CIMARRON RTE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782552382",
"telephone_number": "210-858-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 GOLIAD RD",
"address_2": "STE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782233960",
"telephone_number": "210-468-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADHWA",
"first_name": "HARMANDEEP",
"middle_name": "SINGH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-02",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.