Individual provider Active NPI

Harmandeep Singh Wadhwa, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1376774851
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24863 Issued in TX
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

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
24863TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.