NPIMap

Organization Active NPI

Kent Family Medical Clinic LLC

  • Family Medicine Physician
  • Kent, WA
National Provider Identifier
1407800956
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00045566 Issued in WA
Legal business name
KENT FAMILY MEDICAL CLINIC LLC
Practice address
10830 SE Kent Kangley Rd
100A
Kent, WA 98030-9959
Phone
(253) 520-7390
Fax
(253) 520-7028
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Harpreet Singh Chhokar, M.D.NPI 1194779629
Title
Member/Manager
Phone
(253) 520-7390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00045566 WA Primary

Addresses

Primary practice location

10830 SE Kent Kangley Rd
100A
Kent, WA 98030-9959

Mailing address

12932 SE Kent Kangley Rd
184
Kent, WA 98030-7940
Phone (253) 520-7390

Other identifiers 1

IdentifierTypeStateIssuer
7132822MedicaidWA

National Provider Directory

National Provider Directory

Locations

10830 SE Kent Kangley Rd
Ste 100A
Kent, WA 98030
Phone (253) 520-7390

12932 SE Kent Kangley Rd
#184
Kent, WA 98030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1407800956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12932 SE KENT KANGLEY RD",
            "address_2": "184",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307940",
            "telephone_number": "253-520-7390",
            "fax_number": "253-520-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 SE KENT KANGLEY RD",
            "address_2": "100A",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980309959",
            "telephone_number": "253-520-7390",
            "fax_number": "253-520-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "CHHOKAR",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "253-520-7390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132822",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.