Organization Active NPI

Samrudhi Nakhwa DDS PLLC

  • Dental Clinic/Center
  • Redmond, WA
National Provider Identifier
1396575361
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dr. Samrudhi Nakhwa, DDSNPI 1700330693
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.