NPIMap

Organization Active NPI

Gagandeep S Kandola, DMD Inc.

  • Dentist
  • El Dorado Hills, CA
National Provider Identifier
1467901975
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62429 Issued in CA
Legal business name
GAGANDEEP S KANDOLA, DMD INC.
Practice address
1150 Suncast LN
#6
El Dorado Hills, CA 95762-9324
Phone
(916) 933-4646
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Dr. Gagandeep Singh Kandola, DMD
Title
Dentist/President
Phone
(916) 933-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 62429 CA Primary

Addresses

Primary practice location

1150 Suncast LN
#6
El Dorado Hills, CA 95762-9324

Mailing address

1150 Suncast LN
#6
El Dorado Hills, CA 95762-9324
Phone (916) 933-4646

Other names 1

  • Synergy Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

1150 Suncast Ln
Ste 6
El Dorado Hills, CA 95762
Phone (916) 933-4646

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": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1467901975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SUNCAST LN",
            "address_2": "#6",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629324",
            "telephone_number": "916-933-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SUNCAST LN",
            "address_2": "#6",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629324",
            "telephone_number": "916-933-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGANDEEP S KANDOLA, DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "KANDOLA",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "916-933-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.