Gurjot Kaur Sidhu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS62962 Issued in CA

Practice address

2119 Patterson Rd
Suite 9
Riverbank, CA 95367-9639

Phone

(650) 966-4844

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gurjot Sidhu DDS Dental Corporation

  • Dentist
  • Stockton, CA
  • NPI 1467053660
  NPD (past) Authorized official
• Gurjot Sidhu DDS Dental Corporation

  • General Practice Dentistry
  • Riverbank, CA
  • NPI 1851742696
  NPD (past) Authorized official
• Gurjot Sidhu DDS Dental Corporation

  • General Practice Dentistry
  • Riverbank, CA
  • NPI 1942783782
  NPD (past) Authorized official

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1760857189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 PATTERSON RD",
            "address_2": "SUITE 9",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953679639",
            "telephone_number": "650-966-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 PATTERSON RD",
            "address_2": "SUITE 9",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953679639",
            "telephone_number": "650-966-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GURJOT",
        "middle_name": "KAUR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS62962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Shisler
• Fabiola Short
• Serenity Shrader
• Tanapong James Shugan, MD
• Washika Siddiqui
• Fars Sifaf
• Gabriela Silva
• Kyan Silva
• Zayra Silva
• Hailey Marie Silveira

• Dentist in Riverbank, CA
• Providers in Riverbank, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.