Individual provider Active NPI

Gagan Deep Kaur, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1154520724
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7317 Issued in AZ
Practice address
2525 W Carefree Hwy
BLDG 2 Suite 108
Phoenix, AZ 85085-6093
Phone
(623) 533-5699
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7317 AZ Primary

Addresses

Primary practice location

2525 W Carefree Hwy
BLDG 2 Suite 108
Phoenix, AZ 85085-6093

Mailing address

24411 N 27TH St
Phoenix, AZ 85024-6200
Phone (646) 265-3740

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gagandeepkaurllc Current Accepting new patients

Locations

21 NE Romance Hill Rd
Ste 103
Belfair, WA 98528
Phone (360) 275-6292

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1154520724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 N 27TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850246200",
            "telephone_number": "646-265-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY",
            "address_2": "BLDG 2 SUITE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856093",
            "telephone_number": "623-533-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GAGAN",
        "middle_name": "DEEP",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.