Active NPI
Manpreet S Dev, DDS
- General Practice Dentistry
- Yuba City, CA
National Provider Identifier
1669099842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104985
- Practice address
- 1052 Live Oak Blvd
Yuba City, CA 95991-3416 - Phone
- (530) 671-4784
- NPI assigned
- Jul 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104985 | CA | Primary |
Addresses
Primary practice location
1052 Live Oak Blvd
Yuba City, CA 95991-3416
Mailing address
26630 Barton Rd
Redlands, CA 92373-4323
Phone (916) 472-9092
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 |
|---|---|---|---|
| 104985 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608940800000",
"number": "1669099842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26630 BARTON RD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734323",
"telephone_number": "916-472-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959913416",
"telephone_number": "530-671-4784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEV",
"first_name": "MANPREET",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-03",
"last_updated": "2020-12-26",
"certification_date": "2020-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "104985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.