Individual provider Active NPI

Jasleen Kaur, DMD

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1205170214
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61877 Issued in CA
Practice address
1850 Colorado Ave
Turlock, CA 95382-2717
Phone
(209) 500-1234
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 61877 CA Primary

Addresses

Primary practice location

1850 Colorado Ave
Turlock, CA 95382-2717

Mailing address

1850 Colorado Ave
Turlock, CA 95382-2717
Phone (209) 500-1234

Other practice location 1

1055 Escalon Ave
# 907
Sunnyvale, CA 94085-4178
Phone (214) 566-0299

Other practice location 2

1055 Escalon Ave
# 907
Sunnyvale, CA 94085-4178
Phone (214) 566-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828000252 CA Order and Referring Only - DentistPractitioner - Dentist 2668788126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61877CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205170214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822717",
            "telephone_number": "209-500-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822717",
            "telephone_number": "209-500-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Escalon Ave",
            "address_2": "# 907",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854178",
            "country_code": "US",
            "telephone_number": "214-566-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Escalon Ave",
            "address_2": "# 907",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940854178",
            "country_code": "US",
            "telephone_number": "214-566-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JASLEEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.