NPIMap

Organization Active NPI

Padmaraj V. Angolkar D.D.S., M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tukwila, WA
National Provider Identifier
1316148018
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00005781 Issued in WA
Legal business name
PADMARAJ V. ANGOLKAR D.D.S., M.D.S.
Practice address
13530 53Rd Ave S Suite 100
Tukwila, WA 98168
Phone
(206) 246-9656
Fax
(206) 743-8541
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Padmaraj (Raj) V. Angolkar, D.D.S., M.D.S.NPI 1205906203
Title
Orthodontist
Phone
(206) 246-9656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE00005781 WA Primary

Addresses

Primary practice location

13530 53Rd Ave S Suite 100
Tukwila, WA 98168

Mailing address

13530 53Rd Ave S Suite 100
Tukwila, WA 98168
Phone (206) 246-9656

Other names 1

  • Angolkar 4 Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angolkar 4 Smiles3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

13530 53rd Ave S
Ste 100
Tukwila, WA 98168
Phone (206) 246-9656

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1316148018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 53RD AVE S SUITE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98168",
            "telephone_number": "206-246-9656",
            "fax_number": "206-743-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 53RD AVE S SUITE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98168",
            "telephone_number": "206-246-9656",
            "fax_number": "206-743-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMARAJ V. ANGOLKAR D.D.S., M.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "ANGOLKAR",
        "authorized_official_first_name": "PADMARAJ (RAJ)",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "206-246-9656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00005781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angolkar 4 Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2011; 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.