Active NPI
Amandeep Singh Gill, DDS
- Dentist
- Modesto, CA
National Provider Identifier
1700194297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61025
- Practice address
- 1518 Coffee Rd Ste B
Modesto, CA 95355-3164 - Phone
- (209) 549-1721
- Fax
- (209) 549-0173
- NPI assigned
- Sep 17, 2010
- Last updated
- Jan 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61025 | CA | Primary |
| General Practice Dentistry | 1223G0001X | D12868 | MN |
Addresses
Primary practice location
1518 Coffee Rd Ste B
Modesto, CA 95355-3164
Mailing address
1518 Coffee Rd Ste B
Modesto, CA 95355-3164
Phone (646) 275-6836
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 |
|---|---|---|---|
| D12868 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A S Gill Dental Corp | Current | Accepting new patients | |
| A S Gill Dental Corp | General Practice | Current | Accepting new patients |
Locations
1518 Coffee Rd
Ste B
Modesto, CA 95355
Phone (209) 549-1721
Organizations & group practices 3
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.
-
dba Gill Family Dentistry
- General Practice Dentistry
- Modesto, CA
- NPI 1518575471
-
- General Practice Dentistry
- Tracy, CA
- NPI 1922926401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1700194297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 COFFEE RD STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553164",
"telephone_number": "646-275-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 COFFEE RD STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553164",
"telephone_number": "209-549-1721",
"fax_number": "209-549-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "AMANDEEP",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61025",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D12868",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.