Andeep Sangha

Primary specialty

DentistTaxonomy code 122300000X

License

109422 Issued in CA

Practice address

3246 W Grant Line Rd
Tracy, CA 95304-8427

Phone

(209) 213-7808

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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.

• Raman Singh DDS , Inc.

  • Dental Clinic/Center
  • Tracy, CA
  • NPI 1710418538
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1942936372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 DETERT ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945502515",
            "telephone_number": "317-997-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 W GRANT LINE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953048427",
            "telephone_number": "209-213-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHA",
        "first_name": "ANDEEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013845A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109422",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013845A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simran Sandhu
• Graciela Sandoval Becerra
• Annette Bobbie Sandoval Brooks, FNP-C
• Karina Sandoval
• Samantha Sandoval
• Rachel Rae Santiago, LICENSED NURSE
• Chauntel Joy Santillan
• Santokh Bhullar MD Inc
• Sierra Santos
• Sarah Mortensen Marriage and Family Counseling

• Dentist in Tracy, CA
• Providers in Tracy, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.