Individual provider Active NPI

Jasmeet Punia, BDS

  • Dentist
  • Issaquah, WA
National Provider Identifier
1366067506
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60862689 Issued in WA
Practice address
5006 E Lake Sammamish Pkwy SE
Issaquah, WA 98029-9220
Phone
(425) 414-7419
NPI assigned
Jun 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60862689 WA Primary

Addresses

Primary practice location

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

Mailing address

1808 Minor Ave Unit 1706
Seattle, WA 98101-1672
Phone (913) 296-6649

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

LicenseStateTypeSpecialty
60862689WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Punia Dentistry LLC CurrentSince Jun 22, 2021 Accepting new patients
360 Dental of Mill Creek Current Accepting new patients

Organizations & group practices 2

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": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1366067506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 MINOR AVE UNIT 1706",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011672",
            "telephone_number": "913-296-6649"
        },
        {
            "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": "425-414-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNIA",
        "first_name": "JASMEET",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60862689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.