Issaquah Valley Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009509 Issued in WA

Legal business name

ISSAQUAH VALLEY DENTAL CARE

Practice address

1660 NW Gilman Blvd
Suite C1
Issaquah, WA 98027-5340

Phone

(425) 392-4122

Fax

(425) 392-1167

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ajay Dhankhar, DDS

Title

Dentist

Phone

(425) 392-4122

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Rehan Bashar, DDS

  • Dentist
  • Bonney Lake, WA
  • NPI 1952317372
  NPD (past)

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1407191265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 NW GILMAN BLVD",
            "address_2": "SUITE C1",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275340",
            "telephone_number": "425-392-4122",
            "fax_number": "425-392-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 NW GILMAN BLVD",
            "address_2": "SUITE C1",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275340",
            "telephone_number": "425-392-4122",
            "fax_number": "425-392-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH VALLEY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "DHANKHAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-392-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009838",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issaquah Physical Therapy, Inc
• Issaquah Plastic Surgery PLLC
• Issaquah Primary Care Associates PS
• Issaquah School District
• Issaquah Surgery Center, LLC (Issaquah Surgery Center)
• Issaquah Vision Center PLLC (Meadows Vision Center)
• Issaquah Women'S and Family Clinic, PLLC
• Iveta Everingham Rnfa Surgical Assisting Services (Surgical Assisting Services)
• J Lee Sales LLC (Home Helpers Direct Link Issaquah)
• Jacobs MH of Washington

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.