Mittal LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MITTAL LLC

Practice address

10025 19TH Ave SE
Everett, WA 98208-4275

Phone

(206) 747-4030

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Shifali GargNPI 1851879472

Title

Member

Phone

(206) 747-4030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shifali Garg, DDS

  • Dentist
  • Woodinville, WA
  • NPI 1851879472
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1194449082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20103 136TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728776",
            "telephone_number": "206-747-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 19TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084275",
            "telephone_number": "206-747-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SHIFALI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-747-4030"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Devonte Mitchell
• Thomas Wesley Mitchell, MD
• Tmera Mitchell, LICSW, LMSW, CCM
• Valarie Mitchell, MSW
• Vanessa R. Mitchell, RN
• Andrea Miura, PHARMD
• Hiroko Miura, CRNA
• Desilee Lynn Mock, LMHCA
• Stephen Mock, M.D.
• Jonathan A Moe

• Dental Clinic/Center in Everett, WA
• Providers in Everett, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.