Organization Active NPI

Sukhdeep K Kingra,D.D.S,Inc.

  • Dental Clinic/Center
  • Fresno, CA
National Provider Identifier
1801435920
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUKHDEEP K KINGRA,D.D.S,INC.
Practice address
5657 E Kings Canyon Rd Ste 107
Fresno, CA 93727-4653
Phone
(559) 454-7900
NPI assigned
Jan 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Sukhdeep Kingra
Title
Dentist
Phone
(201) 423-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5657 E Kings Canyon Rd Ste 107
Fresno, CA 93727-4653

Mailing address

1717 Whiteash Ave
Clovis, CA 93619-5033
Phone (201) 423-1551

Other identifiers 1

IdentifierTypeStateIssuer
1841607694OtherDENTAL

Other names 1

  • Sunnyside Smiles Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Sunnysmiles5657@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

5657 E Kings Canyon Rd
Ste 107
Fresno, CA 93727
Phone (559) 454-7900

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1801435920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WHITEASH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195033",
            "telephone_number": "201-423-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 E KINGS CANYON RD STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274653",
            "telephone_number": "559-454-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKHDEEP K KINGRA,D.D.S,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "KINGRA",
        "authorized_official_first_name": "SUKHDEEP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-423-1551"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1841607694",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sunnysmiles5657@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5657 E Kings Canyon Rd Ste 107",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937274653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sunnyside Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.