Pawandeep Singh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855443 Issued in MA

Practice address

4 Main St
Brockton, MA 02301-4027

Phone

(508) 587-7775

NPI assigned

Aug 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pediatric Smiles of Walpole LLC

  • Pediatric Dentistry
  • Walpole, MA
  • NPI 1780368373
  NPD
• Brockton Family Dental Inc.

  • Dentist
  • Brockton, MA
  • NPI 1235212226
  NPD (past)

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1497069371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 HARRISON AVE",
            "address_2": "APT 509",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182364",
            "telephone_number": "425-210-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014027",
            "telephone_number": "508-587-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "PAWANDEEP",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simple Solutions Consulting LLC
• Jessica Lois Sims
• Shahrzad Annahita Sims, D.O.
• Davinderpal Singh
• Harinder P. Singh, MD
• Rachana Singh, M.D.
• Carl Singletary, M.D.
• Susan K. Sink, MSW,LICSW
• Michelle Sinnott, SLP
• Sade Sinous

• All providers in Brockton, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.

Verify at the official NPI Registry.