Organization Active NPI

Sandeep Singh Cheema DDS Inc

  • General Practice Dentistry
  • Murrieta, CA
National Provider Identifier
1598065930
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50578 Issued in CA
Legal business name
SANDEEP SINGH CHEEMA DDS INC
Practice address
39252 Winchester Rd
Suite 117
Murrieta, CA 92563-3509
Phone
(951) 894-7769
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Mrs. Amada Kulick, RDA
Title
Administrator
Phone
(951) 836-1239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 50578 CA Primary

Addresses

Primary practice location

39252 Winchester Rd
Suite 117
Murrieta, CA 92563-3509

Mailing address

39252 Winchester Rd
Suite 117
Murrieta, CA 92563-3509
Phone (951) 894-7769

Other identifiers 2

IdentifierTypeStateIssuer
1700928223MedicaidCA
1467761569OtherCARECENTLY APPROVED NPI FOR THE TEMECULA BUSINESS LOCATION

Other names 1

  • Friendly Dental Centers Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL riveraamada@gmail.com Direct
CONNECT URL riveraamada@gmail.com Direct Sandeep Singh Cheema DDS Inc

National Provider Directory

National Provider Directory
Tax ID family
Friendly Dental Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1598065930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD",
            "address_2": "SUITE 117",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "951-894-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD",
            "address_2": "SUITE 117",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "951-894-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEEP SINGH CHEEMA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "AMADA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-836-1239",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700928223",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECENTLY APPROVED NPI FOR THE TEMECULA BUSINESS LOCATION",
            "identifier": "1467761569",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "riveraamada@gmail.com",
            "affiliation": "N",
            "endpointDescription": "riveraamada@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39252 Winchester Rd",
            "address_2": "suite 117",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925633509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "riveraamada@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "riveraamada@gmail.com",
            "affiliationName": "Sandeep Singh Cheema DDS Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "riveraamada@gmail.com",
            "address_1": "39252 Winchester Rd",
            "address_2": "suite 117",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925633509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Friendly Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Friendly Dental Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.