Individual provider Active NPI

Inderjeet Kaur, DDS

  • Dentist
  • Galt, CA
National Provider Identifier
1801572805
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110317 Issued in CA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
110317CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalla Dental Group Galt Dentist CurrentSince Sep 8, 2024 Accepting new patients
Dalla DDS Inc PastSince Oct 9, 2022 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.

Verify at the official NPI Registry.