NPIMap

Individual provider Active NPI

Jasbir S Cheema, DDS

  • General Practice Dentistry
  • Manteca, CA
National Provider Identifier
1891815403
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48243 Issued in CA
Practice address
1268 W Lathrop Rd
Manteca, CA 95336-9671
Phone
(209) 824-1940
Fax
(209) 824-1948
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 48243 CA
General Practice Dentistry 1223G0001X 48243 CA Primary

Addresses

Primary practice location

1268 W Lathrop Rd
Manteca, CA 95336-9671

Mailing address

1268 W Lathrop Rd
Manteca, CA 95336-9671
Phone (209) 824-1940

Other practice location 1

4053 E Morada Ln
Stockton, CA 95212-1608
Phone (209) 478-6000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
48243CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jasbir Cheema Dental Corporation Dentist Current Accepting new patients
Cheema Dental Corp Dentist Past Accepting new patients
Cheema Dental Corporation Dentist Past Accepting new patients
Cheema Dental Corp Dentist Past Accepting new patients
Cheema-Regatipalli Dental Corp General Practice PastSince Aug 17, 2025 Accepting new patients
Cheema Dental Corporation Dentist Past Accepting new patients
Cheema Dental Corp Dentist Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1891815403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 W LATHROP RD",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953369671",
            "telephone_number": "209-824-1940",
            "fax_number": "209-824-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 W LATHROP RD",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953369671",
            "telephone_number": "209-824-1940",
            "fax_number": "209-824-1948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4053 E Morada Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952121608",
            "country_code": "US",
            "telephone_number": "209-478-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "JASBIR",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48243",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.