Individual provider Active NPI

Onkarpreet Singh Jawanda

  • Dentist
  • Mishawaka, IN
National Provider Identifier
1548003254
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12014502A Issued in IN
Practice address
112 Ironworks Ave Ste B1
Mishawaka, IN 46544-2058
Phone
(574) 400-8655
NPI assigned
Jun 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12014502A IN Primary

Addresses

Primary practice location

112 Ironworks Ave Ste B1
Mishawaka, IN 46544-2058

Mailing address

310 W Michigan St Apt 236
Indianapolis, IN 46202-3231
Phone (260) 280-9425

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

LicenseStateTypeSpecialty
12014502AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1548003254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W MICHIGAN ST APT 236",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023231",
            "telephone_number": "260-280-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 IRONWORKS AVE STE B1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442058",
            "telephone_number": "574-400-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWANDA",
        "first_name": "ONKARPREET",
        "middle_name": "SINGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014502A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.