Sukhdeep Singh Dhaliwal, M.D., D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

60027252 Issued in WA

Practice address

19503 7TH Ave NE # 100
Poulsbo, WA 98370-7529

Phone

(360) 779-2339

Fax

(360) 779-6475

NPI assigned

Nov 27, 2006

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Greenawalt Dhaliwal LLPGroup PAC ID 1759279995, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Greenawalt Dhaliwal LLP

  dba Kitsap OMS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Poulsbo, WA
  • NPI 1467655548

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1144396763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NW MYHRE RD",
            "address_2": "SUITE #210",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838562",
            "telephone_number": "360-698-9335",
            "fax_number": "360-698-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19503 7TH AVE NE # 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707529",
            "telephone_number": "360-779-2339",
            "fax_number": "360-779-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "SUKHDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "60016824",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "60027252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Robert Delong, D.C.
• Danaher Dempsey, PT
• Juliet Dewey, M.A., CCC-SLP
• Dewilde Chiropractic Inc (Liberty Bay Chiropractic)
• Charles Thomas Dewilde, DC
• Dirmeyer Chiropractic Wellness Clinic
• Anne Doane, LAC
• Robert Keith Doane, LAC
• Doctors Noble Cramer PLLC
• Tommie Mitchel Doran, LMT

• Oral & Maxillofacial Surgery (D.M.D.) in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.