Gurpreet Kaur Shahi, DE60968335

Primary specialty

DentistTaxonomy code 122300000X

License

DE60968335 Issued in WA

Practice address

9812 S 220TH PL
Kent, WA 98031-8112

Phone

(219) 315-9749

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1336792118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 S 220TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980318112",
            "telephone_number": "219-315-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 S 220TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980318112",
            "telephone_number": "219-315-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHI",
        "first_name": "GURPREET",
        "middle_name": "KAUR",
        "credential": "DE60968335",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60968335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Serrano, DNP, ARNP, FNP-BC
• Sharif Shadi, PSYD
• Kajal Rajivkumar Shah
• Payal Mitesh Shah, M.D.
• Maria A Shahbaaz, RN
• Shanti Shakya
• Christopher Shannon, DPT
• Natalie Danielle Shannon, MT-BC
• Michelle Renee Sharif, ND
• Sharum Sharif, N.D.

• Dentist in Kent, WA
• Providers in Kent, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.