Individual provider Active NPI

Tripti Pawar, BDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Issaquah, WA
National Provider Identifier
1013210939
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00010910 Issued in WA
Practice address
505 E Sunset Way
Issaquah, WA 98027-3438
Phone
(425) 392-0980
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00010910 WA Primary

Addresses

Primary practice location

505 E Sunset Way
Issaquah, WA 98027-3438

Mailing address

7984 145TH Ave SE
Newcastle, WA 98059-9207
Phone (206) 390-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220504002534 WA Practitioner - Dentist 8022399880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Tripti Pawar BDS MSD PLLC CurrentSince Jan 1, 2022 Accepting new patients
Padmaraj V. Angolkar D.D.S., M.D.S. Orthodontics and Dentofacial Orthopedics PastSince Jan 19, 2022 Accepting new patients

Locations

505 E Sunset Way
Issaquah, WA 98027
Phone (425) 392-0980

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1013210939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7984 145TH AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980599207",
            "telephone_number": "206-390-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E SUNSET WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273438",
            "telephone_number": "425-392-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWAR",
        "first_name": "TRIPTI",
        "name_prefix": "Dr.",
        "credential": "BDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.