NPIMap

Organization Active NPI

Dhaliwal and Dhaliwal DDS, PLLC

  • General Practice Dentistry
  • Covington, WA
National Provider Identifier
1144928276
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DHALIWAL AND DHALIWAL DDS, PLLC
Practice address
17327 SE 270TH PL Ste B113
Covington, WA 98042-5451
Phone
(253) 854-2714
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Authorized official

Name
Judy Reis
Title
Office Manager
Phone
(206) 375-8926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

17327 SE 270TH PL Ste B113
Covington, WA 98042-5451

Mailing address

10725 SE 256TH St Ste 1
Kent, WA 98030-8285
Phone (253) 854-2714

National Provider Directory

National Provider Directory

Locations

17327 SE 270th Pl
Ste B113
Covington, WA 98042
Phone (253) 854-2714

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678579200000",
    "number": "1144928276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 SE 256TH ST STE 1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308285",
            "telephone_number": "253-854-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 SE 270TH PL STE B113",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425451",
            "telephone_number": "253-854-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHALIWAL AND DHALIWAL DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-375-8926"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; 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.