Individual provider Active NPI

Gurpreet Singh Sethi, D.D.S.

  • Dentist
  • Waldorf, MD
National Provider Identifier
1659565596
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13006 Issued in MD
Practice address
303 Post Office Rd
Suite B-1
Waldorf, MD 20602-2702
Phone
(301) 396-3333
Fax
(301) 396-5727
NPI assigned
Sep 4, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13006 MD Primary

Addresses

Primary practice location

303 Post Office Rd
Suite B-1
Waldorf, MD 20602-2702

Mailing address

303 Post Office Rd
Suite B-1
Waldorf, MD 20602-2702
Phone (301) 396-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150903000726 MD Order and Referring Only - DentistPractitioner - Dentist 2163738295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13006MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gurpreet Singh Sethi DDS LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1659565596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 POST OFFICE RD",
            "address_2": "SUITE B-1",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022702",
            "telephone_number": "301-396-3333",
            "fax_number": "301-396-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 POST OFFICE RD",
            "address_2": "SUITE B-1",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022702",
            "telephone_number": "301-396-3333",
            "fax_number": "301-396-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "GURPREET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.