Individual provider Active NPI

Mehtab Sandhu, DDS

  • Dentist
  • Murphy, TX
National Provider Identifier
1427413509
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31571 Issued in TX
Practice address
305 E FM 544
Ste 915
Murphy, TX 75094-4056
Phone
(972) 423-0415
NPI assigned
Dec 16, 2015
Last updated
Feb 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31571 TX Primary

Addresses

Primary practice location

305 E FM 544
Ste 915
Murphy, TX 75094-4056

Mailing address

305 E FM 544 Unit 915
Murphy, TX 75094-4057
Phone (972) 423-0415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606001390 TX Order and Referring Only - DentistPractitioner - Dentist 4688964588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31571TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: metab.sandhu.1@18107.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1427413509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E FM 544 UNIT 915",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944057",
            "telephone_number": "972-423-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E FM 544",
            "address_2": "STE 915",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944056",
            "telephone_number": "972-423-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MEHTAB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

Verify at the official NPI Registry.