Active NPI
Charanjit Singh Uppal, D.D.S.
- Dentist
- Hayward, CA
National Provider Identifier
1760550685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45048
- Practice address
- 1191 W Tennyson Rd
Suite 4
Hayward, CA 94544-4454 - Phone
- (510) 786-1780
- Fax
- (510) 786-1351
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 45048 | CA | Primary |
Addresses
Primary practice location
1191 W Tennyson Rd
Suite 4
Hayward, CA 94544-4454
Mailing address
1191 W Tennyson Rd
Suite 4
Hayward, CA 94544-4454
Phone (510) 786-1780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B45048-01 | Other | CA | DENTI-CAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45048 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charanjit S Uppal DDS Inc | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Hayward, CA
- NPI 1487101192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760550685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 W TENNYSON RD",
"address_2": "SUITE 4",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945444454",
"telephone_number": "510-786-1780",
"fax_number": "510-786-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 W TENNYSON RD",
"address_2": "SUITE 4",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945444454",
"telephone_number": "510-786-1780",
"fax_number": "510-786-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPPAL",
"first_name": "CHARANJIT",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "B45048-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.