Jasmeet Pannu

Primary specialty

DentistTaxonomy code 122300000X

License

101737 Issued in CA

Practice address

781 Sterling Pkwy
Lincoln, CA 95648-7320

Phone

(916) 543-7880

NPI assigned

Feb 18, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gill and Lopez Dental Corporation

  dba Parkway Dental Group

  • General Practice Dentistry
  • Lincoln, CA
  • NPI 1629163324
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497114458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 ANTLER RUN PL",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 STERLING PKWY",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487320",
            "telephone_number": "916-543-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5168 Honpie Rd",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956678682",
            "country_code": "US",
            "telephone_number": "530-387-4975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNU",
        "first_name": "JASMEET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101737",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optima Medical Laboratory
• Ron Billano Ordona, NP
• Clarissa Ortiz, ACSW
• Curtis Ray Ostaggi, PTA
• Kathy Suergi Pak
• Kailauna Denea Parker
• Bona Parlindungan, LVN
• Erin Parnell, EDS.
• Path Medical LLC
• Matthew Darnell Paul, MSPT

• Dentist in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Dentist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.