Active NPI
Manjot Kaur Tathgur, DDS
- Dentist
- Orange, CA
National Provider Identifier
1306393004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105611
- Practice address
- 530 S Main St
Orange, CA 92868-4525 - Phone
- (657) 291-4216
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60680606 | WA | |
| Dentist | 122300000X | 105611 | CA | Primary |
Addresses
Primary practice location
530 S Main St
Orange, CA 92868-4525
Mailing address
4291 Meridian St
St # 101
Bellingham, WA 98226-6482
Phone (360) 715-8400
Other practice location 1
4291 Meridian St
St # 101
Bellingham, WA 98226-6482
Phone (360) 715-8400
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 |
|---|---|---|---|
| DE60680606 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurani, Mitchell, Kim, PC | Dentist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1306393004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4291 MERIDIAN ST",
"address_2": "ST # 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982266482",
"telephone_number": "360-715-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684525",
"telephone_number": "657-291-4216"
}
],
"practiceLocations": [
{
"address_1": "4291 Meridian St",
"address_2": "St # 101",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982266482",
"country_code": "US",
"telephone_number": "360-715-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATHGUR",
"first_name": "MANJOT",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60680606",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.