Organization Active NPI

Ramandeep K Gill DDS Inc.

  • Dental Clinic/Center
  • Manteca, CA
National Provider Identifier
1760061436
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAMANDEEP K GILL DDS INC.
Practice address
1148 S Main St
Manteca, CA 95337-9505
Phone
(209) 249-0123
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Ramandeep Gill, DDSNPI 1730494113
Title
Dentist
Phone
(925) 818-9455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1148 S Main St
Manteca, CA 95337-9505

Mailing address

1548 Maehl Dr
Manteca, CA 95337-7215
Phone (925) 818-9455

Other names 1

  • IVORY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1148 S Main St
Manteca, CA 95337
Phone (206) 866-4289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1760061436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 MAEHL DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377215",
            "telephone_number": "925-818-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953379505",
            "telephone_number": "209-249-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMANDEEP K GILL DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "RAMANDEEP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-818-9455",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVORY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.