NPIMap

Organization Active NPI

Cheema Dental Corp

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1891467940
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHEEMA DENTAL CORP
Practice address
1700 Standiford Ave BLDG 1a
Modesto, CA 95350-6534
Phone
(209) 916-1700
NPI assigned
Sep 28, 2021
Organization subpart
Yes
Parent organization
CHEEMA DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jasbir S CheemaNPI 1891815403
Title
Ceo
Phone
(209) 824-1940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1700 Standiford Ave BLDG 1a
Modesto, CA 95350-6534

Mailing address

1700 Standiford Ave BLDG 1a
Modesto, CA 95350-6534
Phone (209) 916-1700

Other names 1

  • 123 ismile Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cheema Dental Corp5 organizations share this tax ID, including this one
Part of
Cheema Dental Corp

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 Standiford Ave
Bldg 1A
Modesto, CA 95350
Phone (209) 846-0257

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1891467940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 STANDIFORD AVE BLDG 1A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506534",
            "telephone_number": "209-916-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 STANDIFORD AVE BLDG 1A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506534",
            "telephone_number": "209-916-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEEMA DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEEMA DENTAL CORP",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "JASBIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-824-1940"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "123 ismile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.