Individual provider Active NPI

Gurbrinder Dhillon, DMD

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1932299658
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-81 Issued in NV
Practice address
9400 S Eastern Ave
101
Las Vegas, NV 89123-7936
Phone
(702) 456-0009
Fax
(702) 458-0009
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X S6-81 NV Primary

Addresses

Primary practice location

9400 S Eastern Ave
101
Las Vegas, NV 89123-7936

Mailing address

9400 S Eastern Ave
101
Las Vegas, NV 89123-7936
Phone (702) 456-0009

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
S6-81NVMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Dental Eastern, Inc Past Accepting new patients
Southern Nevada Specialty Prada, PLLC Pediatric Dentistry 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1932299658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S EASTERN AVE",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891237936",
            "telephone_number": "702-456-0009",
            "fax_number": "702-458-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 S EASTERN AVE",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891237936",
            "telephone_number": "702-456-0009",
            "fax_number": "702-458-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "GURBRINDER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.