Individual provider Active NPI

Ramneet Kaur Shergill

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1164925376
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041781 Issued in PA
Practice address
61 W Chelten Ave
Philadelphia, PA 19144-2701
Phone
(214) 713-2626
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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 DS041781 PA Primary

Addresses

Primary practice location

61 W Chelten Ave
Philadelphia, PA 19144-2701

Mailing address

633 W Rittenhouse St Apt A816
Philadelphia, PA 19144-4349

Other practice location 1

1843 Shiloh Rd
Greeneville, TN 37745-4801
Phone (403) 827-4324

Other practice location 2

1401 S 31st St
Philadelphia, PA 19146-3506
Phone (215) 925-2400

Other practice location 3

4500 Frankford Ave
Philadelphia, PA 19124-3602
Phone (215) 744-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181107000422 PA Order and Referring Only - DentistPractitioner - Dentist 7315291549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Dental General Practice Current Accepting new patients
Greater Philadelphia Health Action, Inc Past Accepting new patients

Organizations & group practices 2

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1164925376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W RITTENHOUSE ST APT A816",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442701",
            "telephone_number": "214-713-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1843 Shiloh Rd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454801",
            "country_code": "US",
            "telephone_number": "403-827-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191463506",
            "country_code": "US",
            "telephone_number": "215-925-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191243602",
            "country_code": "US",
            "telephone_number": "215-744-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "RAMNEET KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.