Individual provider Active NPI

Manmit Sandhu, DMD

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1801415948
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38838 Issued in TX
Practice address
15500 W Highway 71 Ste 300
Austin, TX 78738-2819
Phone
(512) 900-2017
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 38838 TX Primary

Addresses

Primary practice location

15500 W Highway 71 Ste 300
Austin, TX 78738-2819

Mailing address

15500 W Highway 71 Ste 300
Bee Cave, TX 78738-2819
Phone (512) 900-2017

Other practice location 1

9001 Brodie Ln Ste C2
Austin, TX 78748-5005
Phone (226) 651-2280

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
38838TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mona Lisa Smiles PLLC PastSince Sep 25, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msandhu69397@uihealth.direct-ci.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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1801415948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 W HIGHWAY 71 STE 300",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787382819",
            "telephone_number": "512-900-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 W HIGHWAY 71 STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787382819",
            "telephone_number": "512-900-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 Brodie Ln Ste C2",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485005",
            "country_code": "US",
            "telephone_number": "226-651-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MANMIT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "38838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.