Simrata Sandhu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10030 Issued in SC

Practice address

4600 Devine St Ste B
Columbia, SC 29205-3617

Phone

(803) 432-2817

NPI assigned

Oct 7, 2019

Last updated

Sep 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dentists of Devine, PC

  dba Dentists of Devine

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1710505169
  NPD
• Alex Sharifian D.D.S., Creve Coeur Dentistry, P.C.

  dba Creve Coeur Dentistry

  • Dentist
  • Creve Coeur, MO
  • NPI 1821487596
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1487295747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 DEVINE ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053617",
            "telephone_number": "803-432-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 DEVINE ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053617",
            "telephone_number": "803-432-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "SIMRATA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019030662",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhills Pediatrics
• Sandhills Pediatrics
• Sandhills Periodontics
• Sandhills Psychiatric Associates, LLC (Jason Kearnes, MD)
• Sandhills Rheumatology, LLC
• Andrea Dawn Sandifer, OTR/L
• Joyce Sandifer, LDO
• Sandlapper Therapy Group LLC
• Kiran K. Sandrapaty, MD
• Sandridge

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.