Individual provider Active NPI

Rupinder Pal Purewal, DDS

  • Dentist
  • Sacramento, CA
National Provider Identifier
1104233824
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63472 Issued in CA
Practice address
3290 Arena Blvd Ste 610
Sacramento, CA 95834-3003
Phone
(916) 574-9499
Fax
(916) 574-9494
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63472 CA Primary

Addresses

Primary practice location

3290 Arena Blvd Ste 610
Sacramento, CA 95834-3003

Mailing address

3290 Arena Blvd Ste 610
Sacramento, CA 95834-3003
Phone (916) 574-9499

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
I20150811005922 CA Order and Referring Only - DentistPractitioner - Dentist 7416262035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pyr Purewal DDS Inc Current Accepting new patients
Yuvraj Yv DDS Inc Current Accepting new patients
Amezcua Dental Corporation Past Accepting new patients

Organizations & group practices 3

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1104233824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 ARENA BLVD STE 610",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343003",
            "telephone_number": "916-574-9499",
            "fax_number": "916-574-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 ARENA BLVD STE 610",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343003",
            "telephone_number": "916-574-9499",
            "fax_number": "916-574-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUREWAL",
        "first_name": "RUPINDER PAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.