Active NPI
Simardeep Kaur Sandhu, MD
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1457555799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M8159
- Practice address
- 7808 Clodus Fields Dr
Dallas, TX 75251-2206 - Phone
- (972) 770-1032
- Fax
- (469) 484-2126
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M8159 | TX | Primary |
Addresses
Primary practice location
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Mailing address
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone (972) 770-1032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP1-0022493 | Other | INSTITUTIONAL PERMIT | |
| 204700301 | Medicaid | TX |
Other names 1
- Simardeep Kaur Mann
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8159 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1457555799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 CLODUS FIELDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512206",
"telephone_number": "972-770-1032",
"fax_number": "469-484-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7808 CLODUS FIELDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512206",
"telephone_number": "972-770-1032",
"fax_number": "469-484-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "SIMARDEEP",
"middle_name": "KAUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M8159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0022493",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204700301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SIMARDEEP",
"last_name": "MANN",
"middle_name": "KAUR",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.