NPIMap

Organization Active NPI

GK Dental PC

  • General Practice Dentistry
  • Everett, MA
National Provider Identifier
1366885022
Registry record updated Apr 12, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019232 Issued in MA
Legal business name
GK DENTAL PC
Practice address
505 Broadway
Everett, MA 02149-3603
Phone
(617) 387-1120
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Gurmeet Kour, D.M.D.
Title
President
Phone
(617) 387-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019232 MA Primary

Addresses

Primary practice location

505 Broadway
Everett, MA 02149-3603

Mailing address

505 Broadway
Everett, MA 02149-3603
Phone (617) 387-1120

National Provider Directory

National Provider Directory

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": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1366885022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493603",
            "telephone_number": "617-387-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493603",
            "telephone_number": "617-387-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "KOUR",
        "authorized_official_first_name": "GURMEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-387-1120",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "019232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.