Individual provider Active NPI

Joshman Raj Singh, DDS

  • General Practice Dentistry
  • Santa Cruz, CA
National Provider Identifier
1932832631
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043804 Issued in PA
Practice address
4100 Portola Dr Ste 2
Santa Cruz, CA 95062-4500
Phone
(831) 475-4100
NPI assigned
Jul 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 DS043804 PA Primary

Addresses

Primary practice location

4100 Portola Dr Ste 2
Santa Cruz, CA 95062-4500

Mailing address

2652 Sabercat CT
Fremont, CA 94539-5647
Phone (510) 674-3840

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241204001471 CA Practitioner - Dentist 2466988217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS043804PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Singh Dental Group LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

4100 Portola Dr
Ste 2
Santa Cruz, CA 95062
Phone (831) 475-4100

Organizations & group practices 1

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1932832631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 SABERCAT CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395647",
            "telephone_number": "510-674-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PORTOLA DR STE 2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624500",
            "telephone_number": "831-475-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JOSHMAN",
        "middle_name": "RAJ",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.