Active NPI
Ravneet Kaur Kalra, DDS
- General Practice Dentistry
- Tukwila, WA
National Provider Identifier
1043833395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61276613
- Practice address
- 13955 Interurban Ave S
Tukwila, WA 98168-4701 - Phone
- (206) 431-0953
- NPI assigned
- May 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61276613 | WA | |
| General Practice Dentistry | 1223G0001X | 0401417009 | VA | |
| General Practice Dentistry | 1223G0001X | DEN1002134 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DE61276613 | WA | Primary |
Addresses
Primary practice location
13955 Interurban Ave S
Tukwila, WA 98168-4701
Mailing address
5226 NE 2ND St
Renton, WA 98059-5076
Phone (571) 341-0957
Other practice location 1
3925 Minnesota Ave NE
Washington, DC 20019-2662
Phone (202) 723-0303
Other practice location 2
7800 Sudley Rd Ste 7810
Manassas, VA 20109-2804
Phone (571) 535-2365
Other practice location 3
19221 108th Ave SE Ste 4
Renton, WA 98055-7369
Phone (253) 852-4746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1002134 | DC | MD | General Practice Dentistry |
| 0401417009 | VA | MD | General Practice Dentistry |
| DE61276613 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravneet Kaur DDS PLLC | General Practice | Current | Accepting new patients |
| Harchand Singh, DDS, PS | General Practice | Past | Accepting new patients |
| Philip N. Hodge, DDS, PS | Dentist | Past | Accepting new patients |
| Dentistry @ Renton | Dentist | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Bellevue, WA
- NPI 1689521825
-
- Dentist
- Renton, WA
- NPI 1629718978
-
- General Practice Dentistry
- Tukwila, WA
- NPI 1083930986
-
- Dentist
- Renton, WA
- NPI 1619320900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1043833395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5226 NE 2ND ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980595076",
"telephone_number": "571-341-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13955 INTERURBAN AVE S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981684701",
"telephone_number": "206-431-0953"
}
],
"practiceLocations": [
{
"address_1": "3925 Minnesota Ave NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200192662",
"country_code": "US",
"telephone_number": "202-723-0303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7800 Sudley Rd Ste 7810",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201092804",
"country_code": "US",
"telephone_number": "571-535-2365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19221 108th Ave SE Ste 4",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980557369",
"country_code": "US",
"telephone_number": "253-852-4746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALRA",
"first_name": "RAVNEET",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61276613",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401417009",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1002134",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61276613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.