Active NPI
Paul S Kahlon, D.M.D.
- Pediatric Dentistry
- Mukilteo, WA
National Provider Identifier
1184700486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE 60116118
- Practice address
- 4420 106TH St SW
Mukilteo, WA 98275-4700 - Phone
- (425) 212-1810
- Fax
- (425) 212-1812
- NPI assigned
- Oct 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI 02271700 | NJ | |
| Pediatric Dentistry | 1223P0221X | 21838 | MA | |
| Pediatric Dentistry | 1223P0221X | DE 60116118 | WA | Primary |
Addresses
Primary practice location
4420 106TH St SW
Mukilteo, WA 98275-4700
Mailing address
4420 106TH St SW
Mukilteo, WA 98275-4700
Phone (425) 212-1810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011796 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI 02271700 | NJ | MD | General Practice Dentistry |
| DE 60116118 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonu Lamba and Paul S. Kahlon, PS | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Everett, WA
- NPI 1245517622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1184700486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 106TH ST SW",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982754700",
"telephone_number": "425-212-1810",
"fax_number": "425-212-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 106TH ST SW",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982754700",
"telephone_number": "425-212-1810",
"fax_number": "425-212-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHLON",
"first_name": "PAUL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-29",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI 02271700",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "21838",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE 60116118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2011796",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.