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
- 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 and National Provider Directory roles.
-
- Dentist
- Elk Grove, CA
- NPI 1841693371
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.