Individual provider Active NPI

Maninderjit Singh Sandhu, DDS

  • General Practice Dentistry
  • Culpeper, VA
National Provider Identifier
1639332117
Registry record updated Jul 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412107 Issued in VA
Practice address
15187 Montanus Dr
Culpeper, VA 22701-1679
Phone
(540) 727-0093
NPI assigned
Jul 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412107 VA Primary

Addresses

Primary practice location

15187 Montanus Dr
Culpeper, VA 22701-1679

Mailing address

1807 Olney Rd
Falls Church, VA 22043-1119
Phone (917) 509-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20150708003051 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901118652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401412107VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neibauer Dental Care, PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215302400000",
    "number": "1639332117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 OLNEY RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431119",
            "telephone_number": "917-509-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15187 MONTANUS DR",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227011679",
            "telephone_number": "540-727-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MANINDERJIT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-06",
        "last_updated": "2008-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.