NPIMap

Organization Active NPI

Nurani, Mitchell, Kim, PC

Doing business as Brightnow Dental - Bonney Lake

  • Dentist
  • Bonney Lake, WA
National Provider Identifier
1295170280
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008078 Issued in WA
Legal business name
NURANI, MITCHELL, KIM, PC
Doing business as
Brightnow Dental - Bonney Lake
Practice address
9503 192ND Ave E
Bonney Lake, WA 98391-6533
Phone
(253) 299-3033
Fax
(253) 862-9727
NPI assigned
May 3, 2013
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Dr. Ashifa A Nurani, DDS
Title
President
Phone
(714) 578-6358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE00008078 WA Primary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X

Addresses

Primary practice location

9503 192ND Ave E
Bonney Lake, WA 98391-6533

Mailing address

9503 192ND Ave E
Bonney Lake, WA 98391-6533
Phone (253) 299-3033

Other names 1

  • BRIGHTNOW DENTAL - BONNEY LAKE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Now Dental23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

9503 192nd Ave E
Bonney Lake, WA 98391
Phone (253) 299-3033

Practitioners & affiliated clinicians

Practitioners 1

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": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1295170280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9503 192ND AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916533",
            "telephone_number": "253-299-3033",
            "fax_number": "253-862-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9503 192ND AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916533",
            "telephone_number": "253-299-3033",
            "fax_number": "253-862-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURANI, MITCHELL, KIM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "NURANI",
        "authorized_official_first_name": "ASHIFA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008078",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTNOW DENTAL - BONNEY LAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.