Organization Active NPI

Gill Sidhu Dental Inc

  • Dental Clinic/Center
  • San Ramon, CA
National Provider Identifier
1174381784
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GILL SIDHU DENTAL INC
Practice address
100 Park PL Ste 160
San Ramon, CA 94583-4460
Phone
(925) 355-1133
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Harjind SidhuNPI 1023287539
Title
DDS
Phone
(925) 355-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Park PL Ste 160
San Ramon, CA 94583-4460

Mailing address

100 Park PL Ste 160
San Ramon, CA 94583-4460
Phone (925) 355-1133

National Provider Directory

National Provider Directory

Locations

100 Park Pl
Ste 160
San Ramon, CA 94583
Phone (925) 355-1133

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1174381784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 160",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834460",
            "telephone_number": "925-355-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 160",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834460",
            "telephone_number": "925-355-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL SIDHU DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "HARJIND",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "925-355-1133"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.