Organization Active NPI

Manjote Dhaliwal DDS PLLC

  • Pediatric Dentistry
  • Bothell, WA
National Provider Identifier
1386501948
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MANJOTE DHALIWAL DDS PLLC
Practice address
19020 Bothell Way NE Ste C
Bothell, WA 98011-2996
Phone
(425) 659-1200
Fax
(425) 659-3131
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Manjote Dhaliwal, DDSNPI 1356515894
Title
Owner
Phone
(425) 659-1200

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

19020 Bothell Way NE Ste C
Bothell, WA 98011-2996

Mailing address

19020 Bothell Way NE Ste C
Bothell, WA 98011-2996
Phone (425) 659-1200

National Provider Directory

National Provider Directory

Locations

19020 Bothell Way NE
Ste C
Bothell, WA 98011
Phone (425) 481-5302

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": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1386501948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 BOTHELL WAY NE STE C",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112996",
            "telephone_number": "425-659-1200",
            "fax_number": "425-659-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 BOTHELL WAY NE STE C",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112996",
            "telephone_number": "425-659-1200",
            "fax_number": "425-659-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJOTE DHALIWAL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "MANJOTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-659-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.