NPIMap

Organization Active NPI

Gurrinider S Atwal a Proff Dental Corp

  • Dentist
  • Rocklin, CA
National Provider Identifier
1982779484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GURRINIDER S ATWAL A PROFF DENTAL CORP
Practice address
5800 Stanford Ranch Road St 510
Stanford Ranch Road
Rocklin, CA 95765
Phone
(916) 435-3060
Fax
(916) 435-3003
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gurrinder Singh Atwal, DDSNPI 1598827859
Title
President Owner
Phone
(916) 435-3060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5800 Stanford Ranch Road St 510
Stanford Ranch Road
Rocklin, CA 95765

Mailing address

1162 Cheshire CR
Danville, CA 94506
Phone (209) 814-9993

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982779484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 CHESHIRE CR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "209-814-9993",
            "fax_number": "925-964-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH ROAD ST 510",
            "address_2": "STANFORD RANCH ROAD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "95765",
            "telephone_number": "916-435-3060",
            "fax_number": "916-435-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURRINIDER S ATWAL A PROFF DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATWAL",
        "authorized_official_first_name": "GURRINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "916-435-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.