Jashanjot Singh Bajwa, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039867 Issued in PA

Practice address

34 E Lawrence Rd
Tioga Dental Services
Lawrenceville, PA 16929-8801

Phone

(570) 827-0145

NPI assigned

Aug 14, 2013

Last updated

Jul 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tioga Dental Services

  • Dental Clinic/Center
  • Lawrenceville, PA
  • NPI 1255664819
  NPD (past)

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1902239957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E LAWRENCE RD",
            "address_2": "TIOGA DENTAL SERVICES",
            "city": "LAWRENCEVILLE",
            "state": "PA",
            "postal_code": "169298801",
            "telephone_number": "570-827-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E LAWRENCE RD",
            "address_2": "TIOGA DENTAL SERVICES",
            "city": "LAWRENCEVILLE",
            "state": "PA",
            "postal_code": "169298801",
            "telephone_number": "570-827-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "JASHANJOT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Brannaka
• Kelly S. Carr, CRNP
• Delaney Doan
• Victoria Hyde
• Quintin Ireland, MD

• General Practice Dentistry in Lawrenceville, PA
• Providers in Lawrenceville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.