Active NPI
Sukhpal K Virk, DDS
- Dentist
- Fresno, CA
National Provider Identifier
1477602829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45338
- Practice address
- 4007 N Marks Ave Suite #102
Ashland Dental Center
Fresno, CA 93722 - Phone
- (559) 225-5800
- Fax
- (559) 225-4004
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 45338 | CA | Primary |
Addresses
Primary practice location
4007 N Marks Ave Suite #102
Ashland Dental Center
Fresno, CA 93722
Mailing address
4007 N Marks Ave Suite #102
Ashland Dental Center
Fresno, CA 93722
Phone (559) 225-5800
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S Mavi,D.D.S., Incorporated | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477602829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 N MARKS AVE SUITE #102",
"address_2": "ASHLAND DENTAL CENTER",
"city": "FRESNO",
"state": "CA",
"postal_code": "93722",
"telephone_number": "559-225-5800",
"fax_number": "559-225-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 N MARKS AVE SUITE #102",
"address_2": "ASHLAND DENTAL CENTER",
"city": "FRESNO",
"state": "CA",
"postal_code": "93722",
"telephone_number": "559-225-5800",
"fax_number": "559-225-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRK",
"first_name": "SUKHPAL",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.