Active NPI
Jasjit Singh, DDS
- General Practice Dentistry
- Rohnert Park, CA
National Provider Identifier
1679315832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 109990
- Practice address
- 1400 Medical Center Dr Ste C
Rohnert Park, CA 94928-2924 - Phone
- (707) 622-6748
- NPI assigned
- Jun 10, 2024
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 109990 | CA | Primary |
Addresses
Primary practice location
1400 Medical Center Dr Ste C
Rohnert Park, CA 94928-2924
Mailing address
394 Piercy Dr
Benicia, CA 94510-3954
Other practice location 1
855 Fountaingrove Pkwy Ste 200
Santa Rosa, CA 95403-5799
Phone (707) 579-9993
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 |
|---|---|---|---|
| 109990 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chet L Jenkins DDS II Inc | 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 and National Provider Directory roles.
-
dba Dentistry for San Diego
- Dental Clinic/Center
- Laguna Niguel, CA
- NPI 1093447674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1679315832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 PIERCY DR",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MEDICAL CENTER DR STE C",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282924",
"telephone_number": "707-622-6748"
}
],
"practiceLocations": [
{
"address_1": "855 Fountaingrove Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954035799",
"country_code": "US",
"telephone_number": "707-579-9993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGH",
"first_name": "JASJIT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "109990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.