Active NPI
Samrudhi Nakhwa DDS PLLC
- Dental Clinic/Center
- Redmond, WA
National Provider Identifier
1396575361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SAMRUDHI NAKHWA DDS PLLC
- Practice address
- 12377 137TH PL NE Unit 120
Redmond, WA 98052-2229 - Phone
- (425) 470-3174
- NPI assigned
- Aug 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samrudhi Nakhwa, DDS
- Title
- Owner
- Phone
- (425) 503-7828
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
12377 137TH PL NE Unit 120
Redmond, WA 98052-2229
Mailing address
11518 NE 87TH St Unit B
Kirkland, WA 98033-5743
Phone (425) 470-3174
National Provider Directory
National Provider DirectoryLocations
12377 137th Pl NE
Unit 120
Redmond, WA 98052
Phone (425) 470-3174
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1700330693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1396575361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11518 NE 87TH ST UNIT B",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335743",
"telephone_number": "425-470-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12377 137TH PL NE UNIT 120",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522229",
"telephone_number": "425-470-3174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMRUDHI NAKHWA DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "NAKHWA",
"authorized_official_first_name": "SAMRUDHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-503-7828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.