Organization Active NPI

Sandhu Pande Dental Corporation

Doing business as Milpitas Smile Design

  • Dentist
  • Milpitas, CA
National Provider Identifier
1538167671
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53104 Issued in CA
Legal business name
SANDHU PANDE DENTAL CORPORATION
Doing business as
Milpitas Smile Design
Practice address
414 S Main St
Milpitas, CA 95035-5319
Phone
(408) 934-0693
Fax
(408) 934-1055
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Dr. Puneet Sandhu, DDS
Title
Ceo
Phone
(510) 825-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53104 CA Primary

Addresses

Primary practice location

414 S Main St
Milpitas, CA 95035-5319

Mailing address

414 S Main St
Milpitas, CA 95035-5319
Phone (408) 934-0693

Other names 1

  • Milpitas Smile Design Doing business as

National Provider Directory

National Provider Directory

Locations

414 S Main St
Milpitas, CA 95035
Phone (408) 934-0693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1538167671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355319",
            "telephone_number": "408-934-0693",
            "fax_number": "408-934-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S MAIN ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355319",
            "telephone_number": "408-934-0693",
            "fax_number": "408-934-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHU PANDE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-825-0445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milpitas Smile Design",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milpitas Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.