Organization Active NPI

Prabhdeep K Gill DDS Inc

  • Dental Clinic/Center
  • Fresno, CA
National Provider Identifier
1518744721
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PRABHDEEP K GILL DDS INC
Practice address
7215 N 1St St Ste 107
Fresno, CA 93720-2985
Phone
(559) 360-0017
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Dr. Prabhdeep K Gill, DDSNPI 1811225386
Title
Ceo
Phone
(559) 360-0017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7215 N 1St St Ste 107
Fresno, CA 93720-2985

Mailing address

9865 N Sedona Cir
Fresno, CA 93720-5408
Phone (559) 630-0472

National Provider Directory

National Provider Directory

Locations

7215 N 1st St
Ste 107
Fresno, CA 93720
Phone (559) 229-2288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1518744721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9865 N SEDONA CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205408",
            "telephone_number": "559-630-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 N 1ST ST STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202985",
            "telephone_number": "559-360-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHDEEP K GILL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "PRABHDEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-360-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.