Navdeep Dhaliwal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60608745 Issued in WA

Practice address

10725 SE 256TH St
Suite 1
Kent, WA 98030-8285

Phone

(253) 854-2714

Fax

(253) 854-3184

NPI assigned

Oct 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Navdeep Dhaliwal DDS PLLC

  • Dental Clinic/Center
  • Auburn, WA
  • NPI 1457953929
  NPD Authorized official
• Manpreet Dhaliwal and Navdeep Dhaliwal DDS PLLC

  • General Practice Dentistry
  • Federal Way, WA
  • NPI 1508625542
  NPD
• Dhaliwal and Dhaliwal DDS, PLLC

  • General Practice Dentistry
  • Covington, WA
  • NPI 1144928276
  NPD (past)
• Dhaliwal, DDS, PLLC

  • General Practice Dentistry
  • Kent, WA
  • NPI 1750834883
  NPD (past)

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1124490537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 SE 256TH ST",
            "address_2": "SUITE 1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308285",
            "telephone_number": "253-854-2714",
            "fax_number": "253-854-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 SE 256TH ST",
            "address_2": "SUITE 1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308285",
            "telephone_number": "253-854-2714",
            "fax_number": "253-854-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "NAVDEEP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-24",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60608745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhaliwal Medical Associates PLLC
• Dhaliwal Optometry PLLC
• Amardeep Dhaliwal, M.D.
• Dhaliwal, DDS, PLLC
• Manpreet Singh Dhaliwal, DDS
• Ramanpreet Dhaliwal
• Upkar Dhaliwal, OD
• Katherine Dianne Di Re, MSW
• Diagnos-Techs, Inc.
• Lakisha M. Dickens, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.