Individual provider Active NPI

Ravneet Kaur Kalra, DDS

  • General Practice Dentistry
  • Tukwila, WA
National Provider Identifier
1043833395
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61276613 Issued in WA
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

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN1002134DCMDGeneral Practice Dentistry
0401417009VAMDGeneral Practice Dentistry
DE61276613WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ravneet Kaur DDS PLLC General Practice Current Accepting new patients
Harchand Singh, DDS, PS General Practice PastSince Nov 3, 2024 Accepting new patients
Philip N. Hodge, DDS, PS Dentist Past Accepting new patients
Dentistry @ Renton Dentist PastSince Apr 10, 2022 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.

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.

Verify at the official NPI Registry.