Sukhdeep Singh Randhawa

Primary specialty

DentistTaxonomy code 122300000X

License

0401418921 Issued in VA

Practice address

23 Fayette St
Martinsville, VA 24112-2703

Phone

(276) 638-0787

NPI assigned

Jun 12, 2024

Sex

Male

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Martinsville Henry County Coalition for Health and Wellness

  dba MHC Community Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Martinsville, VA
  • NPI 1164192266
  NPD (past)
• Martinsville Henry County Coalition for Health and Wellness

  dba Connect Health - Patrick

  • Federally Qualified Health Center (FQHC)
  • Stuart, VA
  • NPI 1619707221
  NPD (past)

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1821830456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 JONES ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FAYETTE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122703",
            "telephone_number": "276-638-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "SUKHDEEP",
        "middle_name": "SINGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Transportation Service, LLC.
• Shannon Joyce Quigg, LPTA
• R & E Transportation, LLC
• Linda Michelle Rakes, FNP
• Casey Quinn Ramirez Cortes, OD
• James Michael Rasel
• Ray Boyz Ridez LLC
• Joseph Ray
• Raymond F. Mallinak, DDS
• RBM Opco of Martinsville LLC (Mulberry Creek Nursing and Rehab Center)

• Dentist in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.