Active NPI
Virinder S Grewal, DMD
- General Practice Dentistry
- Elk Grove, CA
National Provider Identifier
1194908103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44315
- Practice address
- 9571 Laguna Springs Dr
Suite # 100
Elk Grove, CA 95758-7961 - Phone
- (916) 683-1800
- Fax
- (916) 683-1890
- NPI assigned
- Dec 12, 2007
- Last updated
- Jun 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44315 | CA | Primary |
Addresses
Primary practice location
9571 Laguna Springs Dr
Suite # 100
Elk Grove, CA 95758-7961
Mailing address
9571 Laguna Springs Dr
Suite # 100
Elk Grove, CA 95758-7961
Phone (916) 683-1800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44315 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V.S.Grewal,DMD Professional Dental Corp | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1194908103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9571 LAGUNA SPRINGS DR",
"address_2": "SUITE # 100",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587961",
"telephone_number": "916-683-1800",
"fax_number": "916-683-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9571 LAGUNA SPRINGS DR",
"address_2": "SUITE # 100",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587961",
"telephone_number": "916-683-1800",
"fax_number": "916-683-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "VIRINDER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.