Organization Active NPI

Sandhu DMD, Inc

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1821555186
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANDHU DMD, INC
Practice address
6886 Indiana Ave
Riverside, CA 92506-4218
Phone
(404) 446-5793
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Dr. Kabir R Sandhu, DMD
Title
Dentist-Owner
Phone
(909) 996-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6886 Indiana Ave
Riverside, CA 92506-4218

Mailing address

12619 Elk Cove CT
Rancho Cucamonga, CA 91739-8859
Phone (909) 996-5793

Other identifiers 1

IdentifierTypeStateIssuer
1184052482OtherDENTIST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1821555186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 ELK COVE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398859",
            "telephone_number": "909-996-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064218",
            "telephone_number": "404-446-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHU DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "KABIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "909-996-5793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1184052482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.