Platinum Dental Northwest LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PLATINUM DENTAL NORTHWEST LLC

Practice address

6101 200TH St SW Ste 200
Lynnwood, WA 98036-6077

Phone

(360) 863-2517

Fax

(360) 282-0158

NPI assigned

Aug 19, 2022

Organization subpart

Yes

Parent organization

PLATINUM DENTAL NORTHWEST LLCAs reported in NPPES

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

Authorized official

Name

Kendra Bishop

Title

Coo

Phone

(425) 212-7646

Specialties & licenses 1

Addresses

Other names 1

• Platinum Dentures Doing business as

Part of

Platinum Dental Northwest LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haider Michael Kalhan, B.D.S

  • Dentist
  • Toppenish, WA
  • NPI 1790109098
  NPD

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1134847502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AVENUE A STE A",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902961",
            "telephone_number": "425-212-7646",
            "fax_number": "360-282-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 200TH ST SW STE 200",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366077",
            "telephone_number": "360-863-2517",
            "fax_number": "360-282-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM DENTAL NORTHWEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLATINUM DENTAL NORTHWEST LLC",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "425-212-7646"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah R Pike, MA60114773
• Mark Pilger
• Chloe Pirchio
• Sara Kaye Pitroff, LMP
• Andrea Pittman
• Danielle Marie Platt, CPC
• Sherry Platt, LPN
• Shakilla Elizabeth Player, BCBA, LBA
• Kathryn Jeanette Plunk, L.M.P
• Molly Grace Polk, LMP

• Orthodontics and Dentofacial Orthopedics Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.