Individual provider Active NPI

Rajwinder Dhillon, DDS

  • Dentist
  • Gridley, CA
National Provider Identifier
1922339688
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59097 Issued in CA
Practice address
424 Magnolia St
Gridley, CA 95948-2535
Phone
(530) 846-4815
Fax
(530) 846-4878
NPI assigned
Jan 20, 2010
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59097 CA Primary

Addresses

Primary practice location

424 Magnolia St
Gridley, CA 95948-2535

Mailing address

424 Magnolia St
Gridley, CA 95948-2535
Phone (530) 846-4815

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
I20161220001733 CA Order and Referring Only - DentistPractitioner - Dentist 2860773447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59097CAMDDentist

Interoperability endpoints

  • Direct secure messaging: rdhillon@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1922339688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MAGNOLIA ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482535",
            "telephone_number": "530-846-4815",
            "fax_number": "530-846-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MAGNOLIA ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482535",
            "telephone_number": "530-846-4815",
            "fax_number": "530-846-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "RAJWINDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gridley, CA

Sources for this page

Verify at the official NPI Registry.