Ivraj Sandhu, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010879 Issued in AZ

Practice address

20359 N 59TH Ave Ste 101
Glendale, AZ 85308-6857

Phone

(623) 362-2960

NPI assigned

Oct 2, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sandhu Dental Medicine PLLC

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1740994284
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1932706041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20359 N 59TH AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086857",
            "telephone_number": "623-362-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20359 N 59TH AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086857",
            "telephone_number": "623-362-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "IVRAJ",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sander, LPC
• Beth Ann Sanders
• Kelly L Sanders, RN
• Ruth E Sanders, FNP
• Pepi Sandhaus, SLP
• Shawn Singh Sandhu, M.D.
• Sonia Sandhu, M.D.
• Andrea J. Sandman, PSY. D.
• Kimberly Lyanne Sandoval, FNP-C, FNP-BC
• Noemi Sandoval

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.