Individual provider Active NPI

Anmol Gill, DDS

  • Dentist
  • Roseville, CA
National Provider Identifier
1790339331
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112329 Issued in CA
Practice address
140 Roseville Pkwy Ste 150
Roseville, CA 95747-4373
Phone
(844) 616-5437
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 112329 CA Primary

Addresses

Primary practice location

140 Roseville Pkwy Ste 150
Roseville, CA 95747-4373

Mailing address

1000 Lincoln Rd Ste H-25
Yuba City, CA 95991-6598
Phone (916) 916-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112329CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation CurrentSince Sep 28, 2025 Accepting new patients

Locations

140 Roseville Pkwy
Ste 150
Roseville, CA 95747

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1790339331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN RD STE H-25",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916598",
            "telephone_number": "916-916-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ROSEVILLE PKWY STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474373",
            "telephone_number": "844-616-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "ANMOL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.