Individual provider Active NPI

Charanjit Kaur Sandhu, DDS

  • Dentist
  • Linden, NJ
National Provider Identifier
1477756138
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17853 Issued in NJ
Practice address
24 W Price St
Linden, NJ 07036-4257
Phone
(908) 925-3535
Fax
(908) 925-7131
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17853 NJ Primary

Addresses

Primary practice location

24 W Price St
Linden, NJ 07036-4257

Mailing address

24 W Price St
Linden, NJ 07036-4257
Phone (908) 925-3535

Other practice location 1

All Smiles Dental Care, PC
1 Bethany Road Suite 18
Hazlet, NJ 07730
Phone (732) 290-8090

Other identifiers 1

IdentifierTypeStateIssuer
6037101-01MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415001727 NJ Order and Referring Only - DentistPractitioner - Dentist 4880816362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17853NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A P S Dental Center, Inc Dentist PastSince Aug 24, 1992 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1477756138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W PRICE ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364257",
            "telephone_number": "908-925-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W PRICE ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364257",
            "telephone_number": "908-925-3535",
            "fax_number": "908-925-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "All Smiles Dental Care, PC",
            "address_2": "1 Bethany Road Suite 18",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "07730",
            "country_code": "US",
            "telephone_number": "732-290-8090",
            "fax_number": "732-203-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "CHARANJIT",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "17853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6037101-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.