Organization Active NPI

Dr Virks Dental Practice

  • Dental Clinic/Center
  • Wilmington, CA
National Provider Identifier
1356465017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
38940 Issued in CA
Legal business name
DR VIRKS DENTAL PRACTICE
Practice address
221 W Anaheim St
Wilmington, CA 90744
Phone
(310) 233-7777
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kanwaljit S Virk, DDS
Title
Owner
Phone
(310) 233-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 38940 CA Primary

Addresses

Primary practice location

221 W Anaheim St
Wilmington, CA 90744

Mailing address

221 W Anaheim St
Wilmington, CA 90744
Phone (310) 233-7777

Other names 1

  • kanwal j.s. virk Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Virks Dental Office2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

221 W Anaheim St
Wilmington, CA 90744
Phone (310) 233-7777

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356465017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W ANAHEIM ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-233-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W ANAHEIM ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-233-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VIRKS DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "KANWALJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-233-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kanwal j.s. virk",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.