Individual provider Active NPI

Gagan Kaur Kundi, DMD

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1992497408
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108790 Issued in CA
Practice address
6161 Van Buren Blvd Ste 103
Riverside, CA 92503-7603
Phone
(951) 261-5277
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108790 CA Primary

Addresses

Primary practice location

6161 Van Buren Blvd Ste 103
Riverside, CA 92503-7603

Mailing address

6161 Van Buren Blvd Ste 103
Riverside, CA 92503-7603
Phone (951) 261-5277

Other names 1

  • Gagan Kaur Panesar Former name

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
I20230801001178 CA Order and Referring Only - DentistPractitioner - Dentist 2163883687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roquiz and Dhama Dental Corporation General Practice CurrentSince May 28, 2023 Accepting new patients
Michael Cho Dental Corporation PastSince Aug 28, 2022 Accepting new patients

Locations

3955 Bedford Canyon Rd
Unit 101
Corona, CA 92883
Phone (951) 339-1946

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1992497408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 VAN BUREN BLVD STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037603",
            "telephone_number": "951-261-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 VAN BUREN BLVD STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037603",
            "telephone_number": "951-261-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDI",
        "first_name": "GAGAN",
        "middle_name": "KAUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAGAN",
            "last_name": "PANESAR",
            "middle_name": "KAUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.