Active NPI
Kirandeep Kaur Pinky
- Dentist
- Sacramento, CA
National Provider Identifier
1689031130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100010
- Practice address
- 3645 Northgate Blvd
Sacramento, CA 95834-1641 - Phone
- (916) 576-1403
- NPI assigned
- Jan 27, 2016
- Last updated
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 100010 | CA | Primary |
Addresses
Primary practice location
3645 Northgate Blvd
Sacramento, CA 95834-1641
Mailing address
15906 W E St
Kerman, CA 93630-1246
Phone (559) 567-9531
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 |
|---|---|---|---|
| 100010 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1689031130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15906 W E ST",
"city": "KERMAN",
"state": "CA",
"postal_code": "936301246",
"telephone_number": "559-567-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 NORTHGATE BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341641",
"telephone_number": "916-576-1403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKY",
"first_name": "KIRANDEEP",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.