Active NPI
Luckwinder K Gill, DDS
- General Practice Dentistry
- Jackson Heights, NY
National Provider Identifier
1043443146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053218-1
- Practice address
- 3721 75TH St Ste 1
Jackson Heights, NY 11372-6405 - Phone
- (929) 526-7229
- Fax
- (212) 414-4434
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 053218-1 | NY | Primary |
Addresses
Primary practice location
3721 75TH St Ste 1
Jackson Heights, NY 11372-6405
Mailing address
6949 185TH St Apt 2B
Fresh Meadows, NY 11365-3544
Phone (917) 349-4086
Other practice location 1
901 Stewart Ave Ste 214
Garden City, NY 11530-4823
Phone (929) 526-7229
Other names 1
- Luckwinder K Brar
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://gil.identalcloud.com/GillFamilyDentistry/Dashboard |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 053218-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Wire Metal Machine Dental Center | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Long Island City, NY
- NPI 1487964854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1043443146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6949 185TH ST APT 2B",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653544",
"telephone_number": "917-349-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 75TH ST STE 1",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726405",
"telephone_number": "929-526-7229",
"fax_number": "212-414-4434"
}
],
"practiceLocations": [
{
"address_1": "901 Stewart Ave Ste 214",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115304823",
"country_code": "US",
"telephone_number": "929-526-7229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "LUCKWINDER",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "053218-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://gil.identalcloud.com/GillFamilyDentistry/Dashboard",
"affiliation": "N",
"address_1": "3721 75th St Ste 1",
"city": "Jackson Heights",
"state": "NY",
"country_code": "US",
"postal_code": "113726405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LUCKWINDER",
"last_name": "BRAR",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.