Active NPI
Padmaraj (Raj) V. Angolkar, D.D.S., M.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tukwila, WA
National Provider Identifier
1205906203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE00005781
- Practice address
- 13530 53Rd Ave S Ste 100
Tukwila, WA 98168-4784 - Phone
- (206) 246-9656
- NPI assigned
- Nov 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE00005781 | WA | Primary |
Addresses
Primary practice location
13530 53Rd Ave S Ste 100
Tukwila, WA 98168-4784
Mailing address
13530 53Rd Ave S Ste 100
Tukwila, WA 98168-4784
Phone (206) 246-9656
Other practice location 1
13346 1st Ave NE
Seattle, WA 98125-3036
Phone (206) 523-6327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316148018 | Medicaid | WA | |
| 1700087111 | 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 |
|---|---|---|---|
| DE00005781 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. K. Ahmed, D.D.S., M.S., PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Tripti Pawar BDS MSD PLLC | Past | Accepting new patients | |
| Padmaraj V. Angolkar D.D.S., M.D.S. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Padmaraj V. Angolkar D.D.S., M.D.S. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
13346 1st Ave NE
Seattle, WA 98125
Phone (206) 361-2602
13530 53rd Ave S
Ste 100
Tukwila, WA 98168
Phone (206) 246-9656
Organizations & group practices 4
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tukwila, WA
- NPI 1316148018
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Issaquah, WA
- NPI 1326249731
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tukwila, WA
- NPI 1225888449
-
- Dental Clinic/Center
- Issaquah, WA
- NPI 1396492039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1205906203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 53RD AVE S STE 100",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981684784",
"telephone_number": "206-246-9656",
"fax_number": "425-392-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13530 53RD AVE S STE 100",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981684784",
"telephone_number": "206-246-9656"
}
],
"practiceLocations": [
{
"address_1": "13346 1st Ave NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981253036",
"country_code": "US",
"telephone_number": "206-523-6327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGOLKAR",
"first_name": "PADMARAJ (RAJ)",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE00005781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316148018",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700087111",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.