Organization Active NPI

Hardeep K Sidhu DDS a Professional Dental Corporation

  • Dental Clinic/Center
  • Roseville, CA
National Provider Identifier
1497218705
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 12, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.