NPIMap

Individual provider Active NPI

Pawandeep Sekhon

  • General Practice Dentistry
  • Beaverton, OR
National Provider Identifier
1932529914
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9987 Issued in OR
Practice address
12520 SW 1St St
Beaverton, OR 97005-0550
Phone
(503) 646-5230
NPI assigned
Apr 17, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9987 OR Primary

Addresses

Primary practice location

12520 SW 1St St
Beaverton, OR 97005-0550

Mailing address

430 SW 13TH Ave
Apt 1002
Portland, OR 97205-2361
Phone (503) 890-6245

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D9987ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Beaverton Sandy Dental Clinic PC General Practice Past Accepting new patients
Sandy Dental Clinic PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1932529914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SW 13TH AVE",
            "address_2": "APT 1002",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052361",
            "telephone_number": "503-890-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 SW 1ST ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970050550",
            "telephone_number": "503-646-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKHON",
        "first_name": "PAWANDEEP",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.