NPIMap

Organization Active NPI

Amardeep Gill, D.D.S., Inc.

Doing business as Brentwood Smiles Dental Group

  • Dentist
  • Brentwood, CA
National Provider Identifier
1558629386
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50464 Issued in CA
Legal business name
AMARDEEP GILL, D.D.S., INC.
Doing business as
Brentwood Smiles Dental Group
Practice address
6660 Lone Tree Way
Suite 7
Brentwood, CA 94513-5370
Phone
(925) 513-8363
Fax
(925) 513-7508
NPI assigned
Apr 30, 2012
Last updated
Apr 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Amardeep K Gill, DDS
Title
Owner
Phone
(925) 513-8363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 50464 CA Primary

Addresses

Primary practice location

6660 Lone Tree Way
Suite 7
Brentwood, CA 94513-5370

Mailing address

2860 Michelle Drive 2ND Floor
Irvine, CA 92606
Phone (714) 368-2077

Other names 1

  • Brentwood Smiles Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amardeep Gill DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1558629386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE DRIVE 2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92606",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY",
            "address_2": "SUITE 7",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135370",
            "telephone_number": "925-513-8363",
            "fax_number": "925-513-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARDEEP GILL, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "AMARDEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-513-8363",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.