NPIMap

Organization Active NPI

Gurjit Randhawa Dental, Inc.

Doing business as Pinole Hills Dental

  • Dental Clinic/Center
  • Pinole, CA
National Provider Identifier
1346832979
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GURJIT RANDHAWA DENTAL, INC.
Doing business as
Pinole Hills Dental
Practice address
2643 Appian Way Ste B
Pinole, CA 94564-2253
Phone
(510) 758-0900
NPI assigned
Feb 4, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Dr. Gurjit S Randhawa, DDS,DMDNPI 1265640379
Title
President
Phone
(510) 220-0415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2643 Appian Way Ste B
Pinole, CA 94564-2253

Mailing address

2643 Appian Way Ste B
Pinole, CA 94564-2253
Phone (510) 758-0900

Other names 1

  • Pinole Hills Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2643 Appian Way
Ste B
Pinole, CA 94564
Phone (510) 758-0900

Practitioners & affiliated clinicians

Practitioners 3

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1346832979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 APPIAN WAY STE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642253",
            "telephone_number": "510-758-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 APPIAN WAY STE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642253",
            "telephone_number": "510-758-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURJIT RANDHAWA DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "GURJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-220-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinole Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.