NPIMap

Organization Active NPI

Kahlon Sidhu DDS PLLC

Doing business as Sunrise Dental Kent

  • Dentist
  • Kent, WA
National Provider Identifier
1033570072
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60034237 Issued in WA
Legal business name
KAHLON SIDHU DDS PLLC
Doing business as
Sunrise Dental Kent
Practice address
10216 SE 256TH St
Ste 108
Kent, WA 98030-6437
Phone
(253) 856-3384
Fax
(253) 856-3387
NPI assigned
Mar 18, 2016
Last updated
Mar 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Dr. Jasmine Kahlon, DDSNPI 1518111541
Title
Dentist/Owner
Phone
(253) 856-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60034237 WA Primary

Addresses

Primary practice location

10216 SE 256TH St
Ste 108
Kent, WA 98030-6437

Mailing address

10216 SE 256TH St
Ste 108
Kent, WA 98030-9059
Phone (253) 856-3384

Other names 1

  • Sunrise Dental Kent Doing business as

National Provider Directory

National Provider Directory

Locations

10216 SE 256th St
Ste 108
Kent, WA 98030
Phone (253) 856-3384

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1033570072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 SE 256TH ST",
            "address_2": "STE 108",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980309059",
            "telephone_number": "253-856-3384",
            "fax_number": "253-856-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 SE 256TH ST",
            "address_2": "STE 108",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306437",
            "telephone_number": "253-856-3384",
            "fax_number": "253-856-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHLON SIDHU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "KAHLON",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-856-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60034237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental Kent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.