Manpreet Gosal Grewal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45866 Issued in CA

Practice address

5460 Orange Avenue
Cypress, CA 90630-3740

Phone

(714) 226-9630

Fax

(714) 226-0190

NPI assigned

Mar 6, 2007

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Manpreet Gosal Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cypress Plaza Dental Group

  • Dental Clinic/Center
  • Cypress, CA
  • NPI 1356923072
  NPD Authorized official
• Manpreet G Grewal DDS Inc

  dba Cypress Plaza Dental Group

  • General Practice Dentistry
  • Cypress, CA
  • NPI 1881320851
  NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1811027261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 CASTLE BEND WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874254",
            "telephone_number": "714-226-9630",
            "fax_number": "714-226-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 ORANGE AVENUE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303740",
            "telephone_number": "714-226-9630",
            "fax_number": "714-226-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "MANPREET",
        "middle_name": "GOSAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANPREET",
            "last_name": "GOSAL",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Gonzalez
• Good Samaritan Medical Practice Association
• Bethany Gray, D.O.
• Wilhelmina Basco Grecia, RPH
• Denise Fitzgerald Greene, RNP
• Lori Griffin, OTR/L
• Marcy Marie Griffitts, ATC
• Ambar Xhante Gudino, PSY.D
• Jeanette Guerrero Monreal
• Matthew Guevara, PT

• Dentist in Cypress, CA
• Providers in Cypress, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.

Verify at the official NPI Registry.