Individual provider Active NPI

Karanvir Singh Sibia, D.D.S.

  • General Practice Dentistry
  • North Highlands, CA
National Provider Identifier
1457582892
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58529 Issued in CA
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

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118000557 CA Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 5597065896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Dental Roseville LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.