Active NPI
Preetinder Bawa Sandhu, BDS
- Dentist
- Boston, MA
National Provider Identifier
1457500753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10303
- Practice address
- 100 E Newton St
G-401
Boston, MA 02118-2308 - Phone
- (617) 638-4705
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10303 | MA | Primary |
Addresses
Primary practice location
100 E Newton St
G-401
Boston, MA 02118-2308
Mailing address
4261 Galway Dr
Lake in the Hills, IL 60156-6764
Phone (630) 987-9266
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10303 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1457500753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4261 GALWAY DR",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566764",
"telephone_number": "630-987-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E NEWTON ST",
"address_2": "G-401",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182308",
"telephone_number": "617-638-4705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "PREETINDER",
"middle_name": "BAWA",
"name_prefix": "Dr.",
"credential": "BDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "10303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.