Active NPI
Indira Kaur Gill, D.M.D., M.S.
- Prosthodontics
- Menlo Park, CA
National Provider Identifier
1275552945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 47659
- Practice address
- 150 Middlefield Rd Ste 102
Menlo Park, CA 94025-3685 - Phone
- (650) 299-1480
- Fax
- (650) 299-1482
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 47659 | CA | Primary |
Addresses
Primary practice location
150 Middlefield Rd Ste 102
Menlo Park, CA 94025-3685
Mailing address
150 Middlefield Rd Ste 102
Menlo Park, CA 94025-3685
Phone (650) 299-1480
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47659 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1275552945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MIDDLEFIELD RD STE 102",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253685",
"telephone_number": "650-299-1480",
"fax_number": "650-299-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MIDDLEFIELD RD STE 102",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253685",
"telephone_number": "650-299-1480",
"fax_number": "650-299-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "INDIRA",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "47659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.