Individual provider Active NPI

Jasvinder Singh Badwalz, DMD

  • General Practice Dentistry
  • Merced, CA
National Provider Identifier
1710193453
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55392 Issued in CA
Practice address
676 Loughborough Dr
Merced, CA 95348-2601
Phone
(209) 383-6133
Fax
(209) 383-6421
NPI assigned
May 16, 2007
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 55392 CA Primary

Addresses

Primary practice location

676 Loughborough Dr
Merced, CA 95348-2601

Mailing address

676 Loughborough Dr
Merced, CA 95348-2601
Phone (209) 383-6133

Other names 1

  • Jasvinder Singh Former name

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
55392CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Family Dentistry CurrentSince Feb 9, 2020 Accepting new patients
Erick N. Cuenca DMD Inc General Practice Past Accepting new patients

Locations

676 Loughborough Dr
Merced, CA 95348
Phone (209) 383-6133

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1710193453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482601",
            "telephone_number": "209-383-6133",
            "fax_number": "209-383-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482601",
            "telephone_number": "209-383-6133",
            "fax_number": "209-383-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADWALZ",
        "first_name": "JASVINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASVINDER",
            "last_name": "SINGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.