Ace Dental Roseville LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

58529 Issued in CA

Legal business name

ACE DENTAL ROSEVILLE LLC

Practice address

1070 Pleasant Grove Blvd
Suite 110
Roseville, CA 95678-6120

Phone

(209) 552-1813

NPI assigned

Feb 11, 2014

Last updated

Feb 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karanvir Singh Sibia, DDSNPI 1457582892

Title

DDS

Phone

(209) 552-1813

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karanvir Singh Sibia, D.D.S.

  • General Practice Dentistry
  • North Highlands, CA
  • NPI 1457582892
  NPD (past) Authorized official

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1447674528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 PLEASANT GROVE BLVD",
            "address_2": "SUITE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 PLEASANT GROVE BLVD",
            "address_2": "SUITE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786120",
            "telephone_number": "209-552-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL ROSEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "SIBIA",
        "authorized_official_first_name": "KARANVIR",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "209-552-1813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Roseville, CA
• Providers in Roseville, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.