Individual provider Active NPI

Pardeep Kaur Gill, DMD

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1861914616
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61401 Issued in KS
Practice address
7501 Mission Rd Ste 102
Prairie Village, KS 66208
Phone
(913) 601-5016
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2017022281 MO
General Practice Dentistry 1223G0001X 61401 KS Primary

Addresses

Primary practice location

7501 Mission Rd Ste 102
Prairie Village, KS 66208

Mailing address

8519 Alden St
Lenexa, KS 66215-2474
Phone (913) 660-2822

Other practice location 1

6340 N Chatham Ave
Kansas City, MO 64151-2473
Phone (816) 746-1171

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
61401KSMDGeneral Practice Dentistry
2017022281MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Sharifian DDS Parkville Modern Dentistry, PC Past Accepting new patients
Village Modern Dentistry, PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1861914616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 ALDEN ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152474",
            "telephone_number": "913-660-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 MISSION RD STE 102",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-601-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6340 N Chatham Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641512473",
            "country_code": "US",
            "telephone_number": "816-746-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "PARDEEP",
        "middle_name": "KAUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017022281",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.