Individual provider Active NPI

Jyotpreet Kaur

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1194330472
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105489 Issued in CA
Practice address
1193 E Champlain Dr
Fresno, CA 93720-5010
Phone
(559) 433-6427
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 105489 CA Primary

Addresses

Primary practice location

1193 E Champlain Dr
Fresno, CA 93720-5010

Mailing address

312 W Olive Ave
Madera, CA 93637-5458

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

State licenses

LicenseStateTypeSpecialty
105489CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jyotpreet Kaur Dental Corporation General Practice CurrentSince Feb 12, 2023 Accepting new patients
McMurray and Gill Dental Corporation General Practice PastSince Sep 20, 2020 Accepting new patients

Locations

312 W Olive Ave
Madera, CA 93637
Phone (559) 673-5944

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": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1194330472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W OLIVE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 E CHAMPLAIN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205010",
            "telephone_number": "559-433-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JYOTPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.