Individual provider Active NPI

Manpreet Kaur Randhawa, DDS

  • Dentist
  • Battle Creek, MI
National Provider Identifier
1649802604
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600777 Issued in MI
Practice address
181 Emmett St W
Battle Creek, MI 49037-2963
Phone
(269) 966-2600
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35931 TX
Dentist 122300000X 2901600777 MI Primary

Addresses

Primary practice location

181 Emmett St W
Battle Creek, MI 49037-2963

Mailing address

181 Emmett St W
Battle Creek, MI 49037-2963
Phone (269) 966-2600

Other practice location 1

4111 Fm 1764 Rd Ste E
Santa Fe, TX 77517-3854
Phone (409) 316-4254

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
35931TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Family Dental Care PLLC General Practice CurrentSince Oct 12, 2025 Accepting new patients

Locations

4111 FM 1764 Rd
Ste E
Santa Fe, TX 77517
Phone (409) 316-4254

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": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1649802604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-966-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-966-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Fm 1764 Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "TX",
            "postal_code": "775173854",
            "country_code": "US",
            "telephone_number": "409-316-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "MANPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35931",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.