Active NPI
Pardeep Kaur Gill, DMD
- General Practice Dentistry
- Prairie Village, KS
National Provider Identifier
1861914616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61401 | KS | MD | General Practice Dentistry |
| 2017022281 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Prairie Village, KS
- NPI 1780195768
-
- Dentist
- Kansas City, MO
- NPI 1275970279
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.