Active NPI
Sukhdeep Sidhu
- Student in an Organized Health Care Education/Training Program
- Chesapeake, VA
National Provider Identifier
1861130262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 684 Battlefield Blvd N Ste a
Chesapeake, VA 23320-5037 - Phone
- (757) 319-4397
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401418123 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
684 Battlefield Blvd N Ste a
Chesapeake, VA 23320-5037
Mailing address
8767 Lemas Rd
Sacramento, CA 95828-5888
Phone (916) 841-8722
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418123 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1861130262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8767 LEMAS RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958285888",
"telephone_number": "916-841-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "684 BATTLEFIELD BLVD N STE A",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205037",
"telephone_number": "757-319-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "SUKHDEEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401418123",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.