Organization Active NPI

Sandhu Dental Medicine PLLC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1740994284
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SANDHU DENTAL MEDICINE PLLC
Doing business as
My Dentist
Practice address
2045 S Vineyard Ste 153
Mesa, AZ 85210-6892
Phone
(480) 833-2232
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Authorized official

Name
Dr. Ivraj Sandhu, DMDNPI 1932706041
Title
Owner/Dentist
Phone
(480) 833-2232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2045 S Vineyard Ste 153
Mesa, AZ 85210-6892

Mailing address

2045 S Vineyard Ste 153
Mesa, AZ 85210-6892
Phone (480) 833-2232

Other names 1

  • My Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

2045 S Vineyard
Ste 153
Mesa, AZ 85210
Phone (480) 833-2232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702166400000",
    "number": "1740994284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 153",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106892",
            "telephone_number": "480-833-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 153",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106892",
            "telephone_number": "480-833-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHU DENTAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "IVRAJ",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-833-2232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; 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.