Organization Active NPI

Pooja W Bhardwaj DDS PLLC

Doing business as Cherry Valley Dental

  • Dentist
  • Duvall, WA
National Provider Identifier
1043018559
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
POOJA W BHARDWAJ DDS PLLC
Doing business as
Cherry Valley Dental
Practice address
15321 Main St NE Ste 321
Duvall, WA 98019-8574
Phone
(425) 318-6073
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dr. Pooja Walia Bhardwaj, DDSNPI 1770983306
Title
Owner
Phone
(253) 951-2170

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15321 Main St NE Ste 321
Duvall, WA 98019-8574

Mailing address

PO Box 984
Duvall, WA 98019-0984
Phone (425) 318-6073

Other names 1

  • Cherry Valley Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1043018559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190984",
            "telephone_number": "425-318-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 MAIN ST NE STE 321",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198574",
            "telephone_number": "425-318-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOJA W BHARDWAJ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BHARDWAJ",
        "authorized_official_first_name": "POOJA",
        "authorized_official_middle_name": "WALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-951-2170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duvall, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.