Individual provider Active NPI

Rashmi Malhotra, DDS, MSD

  • Dentist
  • Kent, WA
National Provider Identifier
1043668395
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60718757 Issued in WA
Practice address
23914 100TH Ave SE Ste 100
Kent, WA 98031-4234
Phone
(253) 336-3000
Fax
(253) 330-3050
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ZZ
Dentist 122300000X DE60718757 WA Primary

Addresses

Primary practice location

23914 100TH Ave SE Ste 100
Kent, WA 98031-4234

Mailing address

22622 134TH PL SE
Kent, WA 98042-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829001691 WA Practitioner - Oral Surgery 5597038430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23914 100TH Ave SE
Suite 100
Kent, WA 98031-4234
Phone (253) 336-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Jul 5, 2017 Accepting new patients
Rashmi Malhotra PLLC CurrentSince Apr 11, 2023 Accepting new patients
University of Washington CurrentSince Jul 5, 2017 Accepting new patients

Locations

23914 100th Ave SE
Ste 100
Kent, WA 98031
Phone (253) 336-3000

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1043668395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22622 134TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23914 100TH AVE SE STE 100",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314234",
            "telephone_number": "253-336-3000",
            "fax_number": "253-330-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "RASHMI",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ZZ",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60718757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.