Manraj K Dhaliwal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104597 Issued in CA

Practice address

6660 Lone Tree Way Ste 7
Brentwood, CA 94513-5310

Phone

(925) 513-8363

NPI assigned

Dec 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amardeep Gill, D.D.S., Inc.

  • Dentist
  • Brentwood, CA
  • NPI 1558629386
  NPD (past)
• Pacific Dental Services

  • Dentist
  • Brentwood, CA
  • NPI 1992181911
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1720626435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 HYDE PARK DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383909",
            "telephone_number": "510-926-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY STE 7",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135310",
            "telephone_number": "925-513-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "MANRAJ",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Depaola
• Dikran Deragopian, DMD, MD
• Anthony Derenzi-Hilt, DPT
• Lisa S Derita, FNP
• Nilima Nailinbhai Desai, M.D.
• Susan Dhami
• Teginder Singh Dhanoa, M.D.
• Johan Diaz
• Miguel Diaz
• Sara Dietzel, MA

• General Practice Dentistry in Brentwood, CA
• Providers in Brentwood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.