Individual provider Active NPI

Manveer Sandhawalia, DDS

  • Dentist
  • Fort Lauderdale, FL
National Provider Identifier
1407548449
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12014085A Issued in IN
Practice address
2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866
Phone
(954) 451-2290
NPI assigned
May 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12014085A IN Primary

Addresses

Primary practice location

2122 W Cypress Creek Rd Ste 201
Fort Lauderdale, FL 33309-1866

Mailing address

9019 Lima Rd
Fort Wayne, IN 46818-1801

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
12014085AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Road Dentistry PastSince Sep 10, 2023 Accepting new patients
David M. Allen D.D.S. and Associates, P.C. PastSince May 1, 2023 Accepting new patients
RFD1 PLLC Dentist Past Accepting new patients
Lima Road Dentistry, PC PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 4

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1407548449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 W CYPRESS CREEK RD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091866",
            "telephone_number": "954-451-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHAWALIA",
        "first_name": "MANVEER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014085A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.