Active NPI
Prabhjot Kaur Grewal, DDS
- Dentist
- Rocklin, CA
National Provider Identifier
1245254374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58818
- Practice address
- 1949 Truman CT
Rocklin, CA 95765-5852 - Phone
- (916) 872-1160
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901018718 | MI | |
| Dentist | 122300000X | 58818 | CA | Primary |
Addresses
Primary practice location
1949 Truman CT
Rocklin, CA 95765-5852
Mailing address
1949 Truman CT
Rocklin, CA 95765-5852
Phone (916) 872-1160
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 |
|---|---|---|---|
| 2901018718 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261180800000",
"number": "1245254374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 TRUMAN CT",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655852",
"telephone_number": "916-872-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 TRUMAN CT",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655852",
"telephone_number": "916-872-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "PRABHJOT",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2009-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901018718",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.