Active NPI
Pritpal Gill, DDS
- Dentist
- Elk Grove, CA
National Provider Identifier
1447603600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100511
- Practice address
- 10044 Bruceville Rd Ste 100
Elk Grove, CA 95757-9504 - Phone
- (347) 463-8209
- Fax
- (347) 463-8209
- NPI assigned
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 100511 | CA | Primary |
Addresses
Primary practice location
10044 Bruceville Rd Ste 100
Elk Grove, CA 95757-9504
Mailing address
9090 Pembridge Dr
Elk Grove, CA 95624-1340
Phone (347) 463-8209
Other practice location 1
10044 Bruceville Rd Ste 100
Elk Grove, CA 95757-9504
Phone (347) 463-8209
Other practice location 2
678 N Wilson Way
Stockton, CA 95205-4272
Phone (347) 463-8209
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100511 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PS Gill DDS Inc | Current | Accepting new patients | |
| Pritpal Gill DDS, Inc | Current | Accepting new patients |
Locations
10044 Bruceville Rd
Ste 100
Elk Grove, CA 95757
Phone (347) 463-8209
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1447603600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9090 PEMBRIDGE DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241340",
"telephone_number": "347-463-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10044 BRUCEVILLE RD STE 100",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957579504",
"telephone_number": "347-463-8209",
"fax_number": "347-463-8209"
}
],
"practiceLocations": [
{
"address_1": "10044 Bruceville Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "957579504",
"country_code": "US",
"telephone_number": "347-463-8209",
"fax_number": "347-463-8209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "678 N Wilson Way",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952054272",
"country_code": "US",
"telephone_number": "347-463-8209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "PRITPAL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.