Organization Active NPI

Gurminder S. Uppal, DDS Dental Corp.

  • Dentist
  • Ceres, CA
National Provider Identifier
1366870693
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56914 Issued in CA
Legal business name
GURMINDER S. UPPAL, DDS DENTAL CORP.
Practice address
1807 Central Ave
Ceres, CA 95307-1806
Phone
(209) 537-7357
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Gurminder Sidhu Uppal, D.D.S, M.S
Title
Owner
Phone
(415) 810-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 56914 CA Primary

Addresses

Primary practice location

1807 Central Ave
Ceres, CA 95307-1806

Mailing address

3221 Madden Way
Dublin, CA 94568-7216

Other names 1

  • K3 Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1807 Central Ave
Ceres, CA 95307
Phone (209) 537-7357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1366870693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 MADDEN WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 CENTRAL AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953071806",
            "telephone_number": "209-537-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURMINDER S. UPPAL, DDS DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "GURMINDER",
        "authorized_official_middle_name": "SIDHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-810-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, M.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K3 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.