Pardeep Singh Gill, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109332 Issued in CA

Practice address

1124 W Olive Ave
Merced, CA 95348-1939

Phone

(630) 956-0886

NPI assigned

Sep 20, 2023

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: pardeep.gill.p1@direct.ariachc.nextgenshare.com

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1750169777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S CLOVIS AVE APT 125",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274280",
            "telephone_number": "630-956-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W OLIVE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481939",
            "telephone_number": "630-956-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "PARDEEP",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Gil
• Nancy Gil, MA
• Kelly Gene Gilbert
• Yvonne Gilchrist
• Harpreet Kaur Gill, DDS
• Elliot Gilliam
• Trinetta Gipson, NURSE PRACTITIONER
• Timothy Alan Gleason, D.C.
• Glom Substance Abuse Program (Gods Love Outreach Ministries)
• GNM Transportation Services LLC

• General Practice Dentistry in Merced, CA
• Providers in Merced, 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 Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.