Active NPI
Rimple Sandhu, DMD
- Periodontics
- Discovery Bay, CA
National Provider Identifier
1659752178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DDS102058
- Practice address
- 2489 Discovery Bay Blvd. #400
Discovery Bay, CA 94505 - Phone
- (484) 437-1559
- Fax
- (925) 679-7110
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DDS102058 | CA | Primary |
Addresses
Primary practice location
2489 Discovery Bay Blvd. #400
Discovery Bay, CA 94505
Mailing address
2489 Discovery Bay Blvd. #400
Discovery Bay, CA 94505
Phone (484) 437-1559
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102058 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1659752178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2489 DISCOVERY BAY BLVD. #400",
"city": "DISCOVERY BAY",
"state": "CA",
"postal_code": "94505",
"telephone_number": "484-437-1559",
"fax_number": "925-679-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 DISCOVERY BAY BLVD. #400",
"city": "DISCOVERY BAY",
"state": "CA",
"postal_code": "94505",
"telephone_number": "484-437-1559",
"fax_number": "925-679-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "RIMPLE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "DDS102058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Discovery Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.