Active NPI
Birinderjit Singh Mand, D.M.D.
- General Practice Dentistry
- Upland, CA
National Provider Identifier
1841680964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 64305
- Practice address
- 555 N Central Ave
Upland, CA 91786-4241 - Phone
- (909) 982-5690
- NPI assigned
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64305 | CA | Primary |
Addresses
Primary practice location
555 N Central Ave
Upland, CA 91786-4241
Mailing address
555 N Central Ave
Upland, CA 91786-4241
Phone (909) 982-5690
Other practice location 1
5261 Elkhorn Blvd
Sacramento, CA 95842-2506
Phone (916) 576-1767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151027001375 | CA | Order and Referring Only - Dentist | 5597074815 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mand Dental Corporation | General Practice | Current | Accepting new patients |
Locations
555 N Central Ave
Upland, CA 91786
Phone (909) 982-5690
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.
-
- General Practice Dentistry
- Upland, CA
- NPI 1730848441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1841680964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N CENTRAL AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864241",
"telephone_number": "909-982-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N CENTRAL AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864241",
"telephone_number": "909-982-5690"
}
],
"practiceLocations": [
{
"address_1": "5261 Elkhorn Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958422506",
"country_code": "US",
"telephone_number": "916-576-1767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAND",
"first_name": "BIRINDERJIT",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.