Jaskiran K Grewal, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

53993 Issued in CA

Practice address

1108 Ward Ave
Suite #10
Patterson, CA 95363-8529

Phone

(209) 895-5440

Fax

(209) 895-5441

NPI assigned

Oct 20, 2007

Last updated

Oct 20, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192838400000",
    "number": "1275722779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 WARD AVE",
            "address_2": "SUITE #10",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638529",
            "telephone_number": "209-895-5440",
            "fax_number": "209-895-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 WARD AVE",
            "address_2": "SUITE #10",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638529",
            "telephone_number": "209-895-5440",
            "fax_number": "209-895-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "JASKIRAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-20",
        "last_updated": "2007-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Valley Health Centers
• Golden Valley Health Centers
• Golden Valley Health Centers
• Carina Gonzalez, PA-C
• Gagneet K Grewal, DDS
• Mandeep Kaur Grewal, PHARM.D.
• Harkirat Dhillon DDS Inc (Royal Dental Care)
• Brianna Heim
• Pedro Heredia, LCSW
• Desiree Marie Herrera

• Dentist in Patterson, CA
• Providers in Patterson, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; 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.