Suraj Prasad Sinha, DMD
Individual provider Active NPI Dentist · Redway, CA
NPI 1396537403 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1396537403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 112594 (CA)
- Practice address
- 101 West Coast Rd
Redway, CA 95560 - Phone
- (707) 923-2783
- NPI assigned
- May 22, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Rutgers School of Dental Medicine, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 National Dr
Suite 135
Sacramento, CA 95834-1947
PO Box
Suite 769
Redway, CA 95560
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260122003504 | CA | Practitioner - Dentist | 9234616004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1000852 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Dental , LLC | Current |
Accepting new patients | |
| Redwoods Rural Health Center Inc. | Current |
Accepting new patients |
Locations
1141 Bridge St
Lowell, MA 01850
Phone (617) 335-1167
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1000852 | MA | |
| Dentist | 122300000X | 112594 | CA | Yes |
Addresses
Primary practice location
101 West Coast Rd
Redway, CA 95560
Mailing address
PO Box 769
Redway, CA 95560-0769
Phone (707) 923-2783
Other practice location 1
217 Briceland Thorn Rd
Redway, CA 95560
Phone (707) 923-2783
Other providers in Redway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.