Individual provider Active NPI

Luckwinder K Gill, DDS

  • General Practice Dentistry
  • Jackson Heights, NY
National Provider Identifier
1043443146
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053218-1 Issued in NY
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

Updated by the provider on Sep 27, 2022

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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
053218-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.