Active NPI
Japneet Singh Dhillon
- General Practice Dentistry
- Lathrop, CA
National Provider Identifier
1679989750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 63580
- Practice address
- 15366 S Harlan Rd
Lathrop, CA 95330-8732 - Phone
- (209) 556-2967
- NPI assigned
- Jul 9, 2014
- Last updated
- Apr 1, 2021
- Sex
- Male
- 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 | 63580 | CA | Primary |
Addresses
Primary practice location
15366 S Harlan Rd
Lathrop, CA 95330-8732
Mailing address
15366 S Harlan Rd
Lathrop, CA 95330-8732
Phone (209) 556-2967
Other names 1
- Japneet Singh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160513000189 | CA | Order and Referring Only - Dentist | 1254620396 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63580 | CA | MD | Pharmacist |
Organizations & group practices 5
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.
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- Dublin, CA
- NPI 1861220931
-
dba Smilerite Family Dentistry
- General Practice Dentistry
- Madera, CA
- NPI 1790145134
-
dba Plume Dental
- General Practice Dentistry
- Mountain House, CA
- NPI 1538740568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1679989750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15366 S HARLAN RD",
"city": "LATHROP",
"state": "CA",
"postal_code": "953308732",
"telephone_number": "209-556-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15366 S HARLAN RD",
"city": "LATHROP",
"state": "CA",
"postal_code": "953308732",
"telephone_number": "209-556-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHILLON",
"first_name": "JAPNEET",
"middle_name": "SINGH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-09",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "63580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAPNEET",
"last_name": "SINGH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lathrop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.