Active NPI
Ramandeep K Gill
- Periodontics
- Folsom, CA
National Provider Identifier
1760721104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 104873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 104873 | CA | Primary |
| Periodontics | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210125000882 | CA | Order and Referring Only - Dentist | 3173808375 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104873 | CA | MD | Periodontist |
| 30024054 | OH | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amezcua Dental Corporation | Past | 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.
-
dba Market West Dental Group
- General Practice Dentistry
- Sacramento, CA
- NPI 1679666432
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.