Dr Manpreet Sidhu DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR MANPREET SIDHU DMD INC

Practice address

2430 Webster St
Berkeley, CA 94705-2016

Phone

(617) 401-1053

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Manpreet K SidhuNPI 1861804445

Title

President

Phone

(617) 401-1053

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Manpreet Sidhu, D.M.D

  • Dentist
  • Malden, MA
  • NPI 1861804445
  NPD (past) Authorized official

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1639653736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 HAVEN PL APT 215",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687933",
            "telephone_number": "360-440-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 WEBSTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052016",
            "telephone_number": "617-401-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MANPREET SIDHU DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-401-1053",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ruth Downey, BSN, RN
• Doreen Ruth Downing, PH.D.
• Fawn Kim Downs, LCSW
• Eileen Brigid Doyle, PHARMD
• Kelly Dozier
• Dr T Lau Chiropractic Corporation
• Dr. Fred Pockrass, DDS a Professional Corporation
• Hannah Mills Dragomanovich, DO
• Anthony Pollard Dragonette, PSY.D.
• Timothy Drain Jr.

• Dental Clinic/Center in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.