Nitin Jaggi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61030618 Issued in WA

Practice address

5006 E Lake Sammamish Pkwy SE
Issaquah, WA 98029-9220

Phone

(425) 391-7645

Fax

(425) 391-7699

NPI assigned

Feb 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prabhjot Sidhu, PLLC

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1477375350
  NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1295367209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 88TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403618",
            "telephone_number": "720-725-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 E LAKE SAMMAMISH PKWY SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980299220",
            "telephone_number": "425-391-7645",
            "fax_number": "425-391-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGI",
        "first_name": "NITIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61030618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iveta Everingham Rnfa Surgical Assisting Services
• J Lee Sales LLC
• Jacobs MH of Washington
• Terry L Jacobson, MD
• Caitlyn Jacquemart
• Soheil Jalali, PHARM.D.
• James E. Fitzpatrick, D.C. PS
• James F Yee MD PLLC
• Tressa Lynn James, LMP, CSP
• Jamnw

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.