NPIMap

Organization Active NPI

Gagneja, BDS, PLLC

Doing business as Must Love Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Vancouver, WA
National Provider Identifier
1033460183
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00010029 Issued in WA
Legal business name
GAGNEJA, BDS, PLLC
Doing business as
Must Love Kids Pediatric Dentistry
Practice address
601 SE 117TH Ave
Ste 150
Vancouver, WA 98683-5297
Phone
(360) 772-9547
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Dr. Prashant Gagneja, BDS, MDS
Title
Principal/Co-Owner
Phone
(360) 433-2997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE00010029 WA Primary

Addresses

Primary practice location

601 SE 117TH Ave
Ste 150
Vancouver, WA 98683-5297

Mailing address

601 SE 117TH Ave
Ste 150
Vancouver, WA 98683-5297

Other names 1

  • Must Love Kids Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gagneja BDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1033460183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE",
            "address_2": "STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE",
            "address_2": "STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-772-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGNEJA, BDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "GAGNEJA",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "PRINCIPAL/CO-OWNER",
        "authorized_official_telephone_number": "360-433-2997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Must Love Kids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.