Individual provider Active NPI

Sahaj Singh Nijjar, DDS

  • General Practice Dentistry
  • Hillsboro, OR
National Provider Identifier
1659928034
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11227 Issued in OR
Practice address
2790 NE 106TH Ave Ste a
Hillsboro, OR 97124-7449
Phone
(503) 844-0700
NPI assigned
Aug 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 D11227 OR Primary
General Practice Dentistry 1223G0001X 104294 CA

Addresses

Primary practice location

2790 NE 106TH Ave Ste a
Hillsboro, OR 97124-7449

Mailing address

5896 Mountain Hawk Dr
Santa Rosa, CA 95409-4356
Phone (707) 228-6942

Other practice location 1

1801 Cleveland Ave Ste C
Santa Rosa, CA 95401-8813
Phone (707) 545-3338

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

LicenseStateTypeSpecialty
104294CAMDCounselor
D11227ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1659928034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5896 MOUNTAIN HAWK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094356",
            "telephone_number": "707-228-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 NE 106TH AVE STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247449",
            "telephone_number": "503-844-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Cleveland Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954018813",
            "country_code": "US",
            "telephone_number": "707-545-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIJJAR",
        "first_name": "SAHAJ",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11227",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.