Individual provider Active NPI

Gopal Ram Singh, DDS

  • General Practice Dentistry
  • Walnut, CA
National Provider Identifier
1821135179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29469 Issued in CA
Practice address
18856 Amar Road
#15
Walnut, CA 91789-7104
Phone
(626) 854-6540
Fax
(626) 854-6541
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29469 CA Primary

Addresses

Primary practice location

18856 Amar Road
#15
Walnut, CA 91789-7104

Mailing address

18856 Amar Road
#15
Walnut, CA 91789-7104
Phone (626) 854-6540

Other identifiers 1

IdentifierTypeStateIssuer
B2946901MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405002309 CA Order and Referring Only - DentistPractitioner - Dentist 9133427230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29469CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gopal Ram Singh General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821135179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18856 AMAR ROAD",
            "address_2": "#15",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897104",
            "telephone_number": "626-854-6540",
            "fax_number": "626-854-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18856 AMAR ROAD",
            "address_2": "#15",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897104",
            "telephone_number": "626-854-6540",
            "fax_number": "626-854-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GOPAL",
        "middle_name": "RAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2946901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.