Individual provider Active NPI

Ramandeep K Gill

  • Periodontics
  • Folsom, CA
National Provider Identifier
1760721104
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
104873 Issued in CA
Practice address
2260 E Bidwell St Ste 110
Folsom, CA 95630-3555
Phone
(916) 984-4224
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 104873 CA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 61048474 WA
Periodontics 1223P0300X DT-2594 HI
Periodontics 1223P0300X 30024054 OH

Addresses

Primary practice location

2260 E Bidwell St Ste 110
Folsom, CA 95630-3555

Mailing address

PO Box 330242
Kahului, HI 96733-0242

Other practice location 1

65-1230 Hawaii Belt RD
Suite C-22
Waimea, HI 96743
Phone (808) 885-5947

Other practice location 2

1400 Medical Center Dr Ste C
Rohnert Park, CA 94928-2924
Phone (707) 622-6748

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210125000882 CA Order and Referring Only - DentistPractitioner - Dentist 3173808375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104873CAMDPeriodontist
30024054OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Amezcua Dental Corporation PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1760721104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330242",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967330242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303555",
            "telephone_number": "916-984-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65-1230 Hawaii Belt RD",
            "address_2": "SUITE C-22",
            "address_purpose": "LOCATION",
            "city": "Waimea",
            "state": "HI",
            "postal_code": "96743",
            "country_code": "US",
            "telephone_number": "808-885-5947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Medical Center Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282924",
            "country_code": "US",
            "telephone_number": "707-622-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "RAMANDEEP",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "104873",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "61048474",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "DT-2594",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30024054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.