NPIMap

Organization Active NPI

Randeep Sidhu DDS, LLC

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1750036422
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RANDEEP SIDHU DDS, LLC
Practice address
12510 Prosperity Dr Ste 220
Silver Spring, MD 20904-1640
Phone
(301) 204-6795
NPI assigned
Feb 21, 2022
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Randeep Sidhu, DDSNPI 1942648720
Title
Owner Dentist
Phone
(301) 495-9222

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

12510 Prosperity Dr Ste 220
Silver Spring, MD 20904-1640

Mailing address

12510 Prosperity Dr Ste 220
Silver Spring, MD 20904-1640
Phone (301) 495-9222

National Provider Directory

National Provider Directory

Locations

12510 Prosperity Dr
Silver Spring, MD 20904
Phone (301) 680-7130

12510 Prosperity Dr
Ste 220
Silver Spring, MD 20904
Phone (301) 204-6795

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1750036422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR STE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041640",
            "telephone_number": "301-495-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR STE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041640",
            "telephone_number": "301-204-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDEEP SIDHU DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "RANDEEP",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "301-495-9222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.