Active NPI
Sukhman Kaur Grewal, DDS
- Dentist
- Frisco, TX
National Provider Identifier
1497161988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30104
- Practice address
- 5050 FM 423 Apt 2308
Frisco, TX 75034-7148 - Phone
- (361) 658-6902
- NPI assigned
- Jul 7, 2014
- Last updated
- Dec 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 30104 | TX | Primary |
Addresses
Primary practice location
5050 FM 423 Apt 2308
Frisco, TX 75034-7148
Mailing address
5050 FM 423 Apt 2308
Frisco, TX 75034-7148
Phone (361) 658-6902
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 |
|---|---|---|---|
| 30104 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1497161988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 FM 423 APT 2308",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347148",
"telephone_number": "361-658-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 FM 423 APT 2308",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347148",
"telephone_number": "361-658-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "SUKHMAN",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.