Individual provider Active NPI

Kanwar Deep Singh Sachdeva, D.M.D., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madera, CA
National Provider Identifier
1750414629
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
58355 Issued in CA
Practice address
924 Emily Way
Madera, CA 93637-5647
Phone
(559) 232-3737
Fax
(559) 675-8541
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 20551 MA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 58355 CA Primary

Addresses

Primary practice location

924 Emily Way
Madera, CA 93637-5647

Mailing address

11229 N Via Palermo Way
Fresno, CA 93730-8815
Phone (559) 840-3377

Other practice location 1

2570 Jensen Ave Ste 102
Sanger, CA 93657-2269
Phone (559) 399-8991

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
20551MAMDProsthodontist
58355CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kanwar Deep Singh Sachdeva, a Dental Corporation Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ksachdeva@direct.westerndental.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750414629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11229 N VIA PALERMO WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937308815",
            "telephone_number": "559-840-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 EMILY WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375647",
            "telephone_number": "559-232-3737",
            "fax_number": "559-675-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2570 Jensen Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sanger",
            "state": "CA",
            "postal_code": "936572269",
            "country_code": "US",
            "telephone_number": "559-399-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACHDEVA",
        "first_name": "KANWAR DEEP SINGH",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "20551",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

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