Active NPI
Karanvir Singh Sibia, D.D.S.
- General Practice Dentistry
- North Highlands, CA
National Provider Identifier
1457582892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58529
- Practice address
- 3901 Madison Ave # 5&10
North Highlands, CA 95660-5095 - Phone
- (209) 552-1813
- NPI assigned
- Aug 3, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58529 | CA | Primary |
Addresses
Primary practice location
3901 Madison Ave # 5&10
North Highlands, CA 95660-5095
Mailing address
1070 Pleasant Grove Blvd 110
Roseville, CA 95678-6124
Phone (209) 552-1813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151118000557 | CA | Order and Referring Only - Maxillofacial Surgery | 5597065896 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Dental Roseville LLC | Past | Accepting new patients |
Interoperability endpoints
- ksibia@direct.westerndental.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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Roseville, CA
- NPI 1447674528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1457582892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 PLEASANT GROVE BLVD 110",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956786124",
"telephone_number": "209-552-1813",
"fax_number": "916-772-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 MADISON AVE # 5&10",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605095",
"telephone_number": "209-552-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBIA",
"first_name": "KARANVIR",
"middle_name": "SINGH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-03",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.