Individual provider Active NPI

Sumanpreet K Walia, D.D.S.

  • General Practice Dentistry
  • Dublin, CA
National Provider Identifier
1871826289
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58823 Issued in CA
Practice address
7739 Amador Valley Blvd
Dublin, CA 94568-2303
Phone
(925) 833-9500
Fax
(925) 833-9504
NPI assigned
Sep 16, 2009
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 58823 CA Primary

Addresses

Primary practice location

7739 Amador Valley Blvd
Dublin, CA 94568-2303

Mailing address

7739 Amador Valley Blvd
Dublin, CA 94568-2303
Phone (925) 833-9500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001590 CA Order and Referring Only - DentistPractitioner - Dentist 3870019490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58823CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
S Walia Dental Corporation General Practice CurrentSince Dec 8, 2024 Accepting new patients
Farhana M.Rassiwala,DDS,Inc CurrentSince Dec 8, 2024 Accepting new patients
Walia Kaur and Katireddy Dental Corporation General Practice Current Accepting new patients
Walia Dental Corporation General Practice Current Accepting new patients

Locations

7739 Amador Valley Blvd
Dublin, CA 94568
Phone (925) 833-9500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1871826289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 AMADOR VALLEY BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682303",
            "telephone_number": "925-833-9500",
            "fax_number": "925-833-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 AMADOR VALLEY BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682303",
            "telephone_number": "925-833-9500",
            "fax_number": "925-833-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIA",
        "first_name": "SUMANPREET",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.