Anudeep Kaur Grewal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042131 Issued in PA

Practice address

510 Darby Rd Ste 1B
Havertown, PA 19083-4630

Phone

(610) 449-1272

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

Yes

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

Locations

Networks

• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

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.

• Pearly Place Dental PLLC

  • General Practice Dentistry
  • Lindenhurst, NY
  • NPI 1548957137
  NPD Authorized official
• Bright Choice Dental LLC

  • Dental Clinic/Center
  • Havertown, PA
  • NPI 1780280057
  NPD
• Silkmann DDS PLLC

  • Dental Clinic/Center
  • Huntingdon Valley, PA
  • NPI 1124724117
  NPD (past)
• Stiven Mita DMD LLC

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1043096159
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1003469685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DARBY RD STE 1B",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DARBY RD STE 1B",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630",
            "telephone_number": "610-449-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Centre Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534128",
            "country_code": "US",
            "telephone_number": "856-983-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2438 Brown St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191301932",
            "country_code": "US",
            "telephone_number": "215-236-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "ANUDEEP",
        "middle_name": "KAUR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Diane Green, M.D.
• Ashley L Greene
• Bruce G Greenfield, DPM
• Danielle A Greenfield, DPM
• Ericka Lief Greenstein III, MSW
• Lateema Shirley Griffin
• Vincent Andrew Grim, LPC
• Heather Ann Grinar, MA, LPC
• Griswold International Care of Delaware LLC
• Steven Charles Gumeiner, MD

• General Practice Dentistry in Havertown, PA
• Providers in Havertown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.