Navdeep S Virk DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

9177 Issued in WA

Legal business name

NAVDEEP S VIRK DDS PLLC

Practice address

7521 W Deschutes Ave
Kennewick, WA 99336-7776

Phone

(509) 735-9999

Fax

(509) 735-9998

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Babs Virk

Title

Corp Officer

Phone

(509) 370-6953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avenue Dental Care Doing business as

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043369564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 W DESCHUTES AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367776",
            "telephone_number": "509-735-9999",
            "fax_number": "509-735-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 W DESCHUTES AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367776",
            "telephone_number": "509-735-9999",
            "fax_number": "509-735-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVDEEP S VIRK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "BABS",
        "authorized_official_title_or_position": "CORP OFFICER",
        "authorized_official_telephone_number": "509-370-6953"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "9177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "9177",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jacob E Nelson, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.