Active NPI
Inderjeet Kaur, DDS
- Dentist
- Galt, CA
National Provider Identifier
1801572805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110317
- Practice address
- 10360 Twin Cities Rd Ste 10
Galt, CA 95632-9063 - Phone
- (209) 916-1000
- NPI assigned
- Jun 23, 2023
- Last updated
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 110317 | CA | Primary |
Addresses
Primary practice location
10360 Twin Cities Rd Ste 10
Galt, CA 95632-9063
Mailing address
7494 Amonde Way
Elk Grove, CA 95757-1767
Phone (916) 260-1314
Other practice location 1
9098 Laguna Main St Ste 8
Elk Grove, CA 95758-7449
Phone (916) 683-7300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110317 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalla Dental Group Galt | Dentist | Current | Accepting new patients |
| Dalla DDS Inc | Past | Accepting new patients |
Locations
10360 Twin Cities Rd
Ste 10
Galt, CA 95632
Phone (209) 916-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1801572805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7494 AMONDE WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957571767",
"telephone_number": "916-260-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10360 TWIN CITIES RD STE 10",
"city": "GALT",
"state": "CA",
"postal_code": "956329063",
"telephone_number": "209-916-1000"
}
],
"practiceLocations": [
{
"address_1": "9098 Laguna Main St Ste 8",
"address_purpose": "LOCATION",
"city": "Elk Grove",
"state": "CA",
"postal_code": "957587449",
"country_code": "US",
"telephone_number": "916-683-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUR",
"first_name": "INDERJEET",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galt, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.