Active NPI
Jagandeep Singh Bajwa, D.M.D.
- General Practice Dentistry
- Chandler, AZ
National Provider Identifier
1518216415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D008417
- Practice address
- 5355 W Chandler Blvd
Suite 1
Chandler, AZ 85226-8603 - Phone
- (480) 961-4888
- NPI assigned
- Sep 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D008417 | AZ | Primary |
Addresses
Primary practice location
5355 W Chandler Blvd
Suite 1
Chandler, AZ 85226-8603
Mailing address
924 E San Carlos Way
Chandler, AZ 85249-3032
Phone (480) 358-8445
Other names 1
- Dr. Jason Bajwa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008417 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Dentistry, PLLC | General Practice | Past | Accepting new patients |
| Radiant Smile Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1235278680
-
- Dentist
- Phoenix, AZ
- NPI 1316491772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1518216415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 E SAN CARLOS WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852493032",
"telephone_number": "480-358-8445",
"fax_number": "480-986-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5355 W CHANDLER BLVD",
"address_2": "SUITE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852268603",
"telephone_number": "480-961-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJWA",
"first_name": "JAGANDEEP",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D008417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "BAJWA",
"prefix": "DR.",
"credential": "D..M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.