Active NPI
Hardeep K Sidhu DDS a Professional Dental Corporation
- Dental Clinic/Center
- Roseville, CA
National Provider Identifier
1497218705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- HARDEEP K SIDHU DDS A PROFESSIONAL DENTAL CORPORATION
- Doing business as
- Smile & Shine Dental Practice of Dr. Sidhu
- Practice address
- 729 Sunrise Ave Ste 200
Roseville, CA 95661-4504 - Phone
- (916) 953-7975
- Fax
- (916) 953-7987
- NPI assigned
- Apr 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Hardeep Sidhu, DDS
- Title
- Owner
- Phone
- (916) 953-7975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
729 Sunrise Ave Ste 200
Roseville, CA 95661-4504
Mailing address
729 Sunrise Ave Ste 200
Roseville, CA 95661-4504
Phone (916) 953-7975
Other names 1
- Smile & Shine Dental Practice of Dr. Sidhu
National Provider Directory
National Provider DirectoryLocations
729 Sunrise Ave
Ste 200
Roseville, CA 95661
Phone (916) 245-2444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555027200000",
"number": "1497218705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614504",
"telephone_number": "916-953-7975",
"fax_number": "916-953-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614504",
"telephone_number": "916-953-7975",
"fax_number": "916-953-7987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARDEEP K SIDHU DDS A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A",
"authorized_official_last_name": "SIDHU",
"authorized_official_first_name": "HARDEEP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-953-7975",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smile & Shine Dental Practice of Dr. Sidhu",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.