Manmeet Sandhu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

113272 Issued in CA

Practice address

1501 W Stout St
Rice Lake, WI 54868-5001

Phone

(715) 236-8900

NPI assigned

May 5, 2025

Last updated

Sep 25, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1912796004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 ERICKSON CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W STOUT ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548685001",
            "telephone_number": "715-236-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MANMEET",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "113272",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001777-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Roseen, PT
• Christy Rosenbauer, COTA
• Alexandria Rowe, DC
• Daniel M. Ruff, PTA
• Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St. Francis (Prevea Health)
• Craig M Savoie, CRNA
• Laura K Schmid-Tyler, P.A.-C
• Alissa Schmidt
• Margaret Joan Schmidt, MSN
• Amy Elizabeth Schneider de Cortez, MD

• Dentist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.