Jatinderjeet Sidhu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22236 Issued in MA

Practice address

698 Crescent St
Brockton, MA 02302-3360

Phone

(857) 492-6269

NPI assigned

Jul 8, 2008

Last updated

May 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jatinderjeet Gill Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alright Dental Inc

  • General Practice Dentistry
  • Stoughton, MA
  • NPI 1508132481
  Authorized official Same address or phone

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1629231857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 WASHINGTON ST",
            "address_2": "STE - 200",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724212",
            "telephone_number": "617-515-5080",
            "fax_number": "781-297-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 CRESCENT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023360",
            "telephone_number": "857-492-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JATINDERJEET",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JATINDERJEET",
            "last_name": "GILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Aaron Shrand, MD
• Rachana Shrestha
• Russell S Shu, M.D.
• Aqeel M Siddiqui, M.D.
• Peter Sidhom, DO
• Samantha A Siegel
• William C Siegel, MD
• Sierra Express Medical Delivery LLC (Siemeds)
• Eduardo Sierra
• Signature Healthcare Medical Group (Signature Medical Group)

• General Practice Dentistry in Brockton, MA
• Providers in Brockton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.