Individual provider Active NPI

Komal Dhir, D.D.S

  • Dentist
  • Bellingham, WA
National Provider Identifier
1366760704
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60105525 Issued in WA
Practice address
4291 Guide Meridian
Bellingham, WA 98226-6482
Phone
(360) 715-8400
NPI assigned
May 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60105525 WA Primary

Addresses

Primary practice location

4291 Guide Meridian
Bellingham, WA 98226-6482

Mailing address

477 Peace Portal Dr
107-440
Blaine, WA 98230-4016
Phone (415) 652-8972

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
DE60105525WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1366760704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 PEACE PORTAL DR",
            "address_2": "107-440",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304016",
            "telephone_number": "415-652-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4291 GUIDE MERIDIAN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266482",
            "telephone_number": "360-715-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHIR",
        "first_name": "KOMAL",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60105525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.