Monika Mahajan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE 60019075 Issued in WA

Practice address

4202 10TH St SE Ste 102
Puyallup, WA 98374-2191

Phone

(253) 446-2751

Fax

(253) 446-6053

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M Mahajan DDS PLLC

  dba Wonderful Smiles

  • Dental Clinic/Center
  • Puyallup, WA
  • NPI 1447716741
  NPD Authorized official

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1427214204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 10TH ST SE # 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742191",
            "telephone_number": "253-446-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 10TH ST SE STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742191",
            "telephone_number": "253-446-2751",
            "fax_number": "253-446-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60019075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIN NUMBER",
            "identifier": "670989339",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jobelle Anne Felicitas Magadia, DPT
• Magnolia Naturopathic Medicine, LLC (Magnolia Naturopathic Medicine)
• Theressa Mah, DMD
• Mahadeep Virk, DMD-Puyallup (Avenue Dental Care)
• Mohit K Mahajan, M.D.
• Jenny Mai
• Jane Maina
• Lucy Maina
• Martha Maina
• Simon N Maina, RN

• Dentist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.