DR. PRABHDEEP SINGH GREWAL D.D.S
NPI 1497712186
Dentist - Oral and Maxillofacial Surgery in Corona, CA

Active since April 27, 2006Opted out of Medicare · through Oct 23, 2027
914 WASHBURN AVE STE 3, CORONA, CA 92882(916) 502-3150 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2022, Jun 9, 2022, Feb 27, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Prabhdeep Singh Grewal D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRABHDEEP SINGH GREWAL D.D.S (NPI 1497712186) is an individual oral and maxillofacial surgery provider in Corona, California, licensed in California (55317) and active in the NPI registry since April 2006. He has opted out of Medicare through October 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497712186
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PRABHDEEP SINGH GREWALCredential: D.D.S
Location Address914 WASHBURN AVE STE 3Corona, CA 92882-4362
Mailing Address914 Washburn Ave Ste 3Corona, CA 92882-4362 · (916) 502-3150
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 17, 20224 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
NPI 1497712186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in CA · 55317 Licensed in VA · 0401415272
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 55317 (CA), DE00010400 (WA)
914 WASHBURN AVE STE 3, Corona, CA 92882

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Prabhdeep Singh Grewal D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 23, 2025 through October 23, 2027.

Opt-Out Effective DateOctober 23, 2025
Opt-Out In Effect ThroughOctober 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92882 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
914 WASHBURN AVE STE 3
CORONA, CA 92882

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497712186, enumerated as an "individual" on April 27, 2006.

The provider is located at 914 WASHBURN AVE STE 3 CORONA, CA 92882 and the phone number is (916) 502-3150.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.