G S Kohli DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

G S KOHLI DDS INC

Practice address

1907 Santa Clara Ave
Alameda, CA 94501-2633

Phone

(510) 523-6400

Fax

(510) 523-2325

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Gagandeep Kohli, DDS, MS

Title

President

Phone

(510) 523-6400

Specialties & licenses 1

Addresses

Other names 1

• Alameda Family Dental Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Finn H Tonsberg, D.D.S.

  • Dentist
  • Alameda, CA
  • NPI 1790115863
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1174100408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012633",
            "telephone_number": "510-523-6400",
            "fax_number": "510-523-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012633",
            "telephone_number": "510-523-6400",
            "fax_number": "510-523-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G S KOHLI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-523-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Fuller, DDS
• Denise Lorraine Funke, RDH
• Destiny Rebekah Rose Furbush
• Adriana Maria Furuzawa, LMFT
• G & R Alameda Healthcare Services, LLC
• Liam Berall Gaard
• Mark Christopher Gabel I
• Brandy Elise Gadson, MSW
• Alysha Gaio
• Russell Gajo

• Dental Clinic/Center in Alameda, CA
• Providers in Alameda, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.