Sandeep Badesha

Primary specialty

DentistTaxonomy code 122300000X

License

110675 Issued in CA

Practice address

1403 Allen Rd Ste 1000
Bakersfield, CA 93314-9660

Phone

(661) 368-0919

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

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.

• Shah and Huynh Dental Corporation

  dba Dentists of Bakersfield Dental Group

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1942787403
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1659192755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13219 MONARCH PALM AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933146521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 ALLEN RD STE 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149660",
            "telephone_number": "661-368-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADESHA",
        "first_name": "SANDEEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy M.K. Bacon, LMFT
• David Bacus, FNP
• Hannah Abigail Garcia Bacuyag
• Gabrielle Badasci
• Pritam S Badesha, MD
• John Thomas Badgett Jr., CADCII
• Rebecca Mae Badgett, LCSW
• Fernando Badillo
• Badri Inc (People's Pharmacy)
• Badri Inc (People's Pharmacy)

• Dentist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.