Individual provider Active NPI

Gagandeep Singh Sandhu, DDS

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1700290590
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040053 Issued in PA
Practice address
777 Pine Valley Dr
Pittsburgh, PA 15239
Phone
(724) 733-3958
NPI assigned
Jun 19, 2014
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040053 PA Primary

Addresses

Primary practice location

777 Pine Valley Dr
Pittsburgh, PA 15239

Mailing address

304 Jefferson CT
Monroeville, PA 15146-1150
Phone (412) 478-4251

Other practice location 1

8050 Rowan Rd
Cranberry Twp, PA 16066-3624
Phone (313) 330-6672

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
DS040053PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles Forever Family Dentistry PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1700290590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JEFFERSON CT",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461150",
            "telephone_number": "412-478-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PINE VALLEY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15239",
            "telephone_number": "724-733-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8050 Rowan Rd",
            "address_purpose": "LOCATION",
            "city": "Cranberry Twp",
            "state": "PA",
            "postal_code": "160663624",
            "country_code": "US",
            "telephone_number": "313-330-6672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "GAGANDEEP",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.