Active NPI
Shubhsangeet Kaur Johal, DMD
- General Practice Dentistry
- Upper Darby, PA
National Provider Identifier
1689386559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS045224
- Practice address
- 9027 W Chester Pike
Upper Darby, PA 19082-1107 - Phone
- (610) 880-3916
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- 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 | DS045224 | PA | Primary |
Addresses
Primary practice location
9027 W Chester Pike
Upper Darby, PA 19082-1107
Mailing address
50 Eldon Ave
Lansdowne, PA 19050-1815
Phone (407) 684-9254
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 |
|---|---|---|---|
| DS045224 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1689386559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ELDON AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501815",
"telephone_number": "407-684-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9027 W CHESTER PIKE",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190821107",
"telephone_number": "610-880-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHAL",
"first_name": "SHUBHSANGEET",
"middle_name": "KAUR",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS045224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.