Individual provider Active NPI

Simran Kaur Pawar, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1801516703
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107922 Issued in CA
Practice address
8324 Elk Grove Florin Rd
Sacramento, CA 95829-9546
Phone
(682) 246-9684
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 107922 CA Primary

Addresses

Primary practice location

8324 Elk Grove Florin Rd
Sacramento, CA 95829-9546

Mailing address

7482 Darque Way
Elk Grove, CA 95757-1800
Phone (682) 246-9684

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
107922CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Anatomy General Practice Current Accepting new patients

Locations

183 Blue Ravine Rd
Folsom, CA 95630
Phone (916) 235-8355

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1801516703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7482 DARQUE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571800",
            "telephone_number": "682-246-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 ELK GROVE FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299546",
            "telephone_number": "682-246-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWAR",
        "first_name": "SIMRAN",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.