NPIMap

Organization Active NPI

P Grewal DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Chino Hills, CA
National Provider Identifier
1225903560
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
P GREWAL DDS INC
Practice address
4200 Chino Hills Pkwy Ste 805
Chino Hills, CA 91709-3785
Phone
(909) 606-0160
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Dr. Prabhdeep Grewal, DDSNPI 1497712186
Title
Owner
Phone
(916) 502-3150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4200 Chino Hills Pkwy Ste 805
Chino Hills, CA 91709-3785

Mailing address

4200 Chino Hills Pkwy Ste 805
Chino Hills, CA 91709-3785
Phone (909) 606-0160

National Provider Directory

National Provider Directory

Locations

4200 Chino Hills Pkwy
Ste 805
Chino Hills, CA 91709
Phone (909) 606-0160

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1225903560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 805",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093785",
            "telephone_number": "909-606-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CHINO HILLS PKWY STE 805",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093785",
            "telephone_number": "909-606-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P GREWAL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "PRABHDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-502-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.