Pawandeep Kaur, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60392137 Issued in WA

Practice address

1107 SW Grady Way Ste 250
Renton, WA 98057-5209

Phone

(425) 687-8860

Fax

(425) 687-8863

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pawandeep Kaur DDS PLLC

  • Dental Clinic/Center
  • Renton, WA
  • NPI 1609508548
  NPD Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1013358340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SW GRADY WAY STE 250",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575209",
            "telephone_number": "425-687-8860",
            "fax_number": "425-687-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SW GRADY WAY STE 250",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575209",
            "telephone_number": "425-687-8860",
            "fax_number": "425-687-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "PAWANDEEP",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60392137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary H Kato, MD
• Jennifer Susan Katz, PT
• Karl H Kaufmann, MD
• Mandeep Kaur, OT
• Manjinder Kaur, RN
• Rajveer Kaur, RN
• Satinder Kaur, ARNP
• Tandeep Kaur
• Reyna Maria Kaut, INTERPRETER
• Krista Kawaguchi, M.D.

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.