NPIMap

Organization Active NPI

Kapil Grewal DDS

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1831554989
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD4182 Issued in NM
Legal business name
KAPIL GREWAL DDS
Practice address
717 Encino PL NE Ste 6
Albuquerque, NM 87102-2624
Phone
(505) 247-8005
Fax
(505) 843-8589
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Kapil Grewal, DDS
Title
Managing Dentist
Phone
(415) 490-7704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DD4182 NM Primary

Addresses

Primary practice location

717 Encino PL NE Ste 6
Albuquerque, NM 87102-2624

Mailing address

717 Encino PL NE Ste 6
Albuquerque, NM 87102-2624
Phone (505) 247-8005

Other names 1

  • New Age Dentistry, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1831554989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022624",
            "telephone_number": "505-247-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022624",
            "telephone_number": "505-247-8005",
            "fax_number": "505-843-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPIL GREWAL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "KAPIL",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "415-490-7704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Age Dentistry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.