Manpreet Kaur Randhawa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS102017 Issued in CA

Practice address

300 Westgate Way
Dinuba, CA 93618-9693

Phone

(800) 492-4227

Fax

(831) 918-0928

NPI assigned

Aug 1, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Miracle Lane Family Dentistry P.C.

  • Dental Clinic/Center
  • Mishawaka, IN
  • NPI 1093122418
  NPD (past)
• South Bend Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Mishawaka, IN
  • NPI 1902017593
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1891041349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 W BEECHWOOD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110795",
            "telephone_number": "800-492-4227",
            "fax_number": "559-646-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WESTGATE WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936189693",
            "telephone_number": "800-492-4227",
            "fax_number": "831-918-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "MANPREET",
        "middle_name": "KAUR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riaz Qamar, FNP
• Roshell Grace Quarker, PA
• Julissa Ramirez
• Regina Nicole Ramirez
• Natalia Ramos-Vazquez, AMFT
• Cynthia Rankin
• Lesliane Raya-Marquez, LPT
• Cheyenne Marina Rede, PPS
• Redwood Springs Health Care Center
• Kyle Richard Reed, PHARMD

• Dentist in Dinuba, CA
• Providers in Dinuba, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.