M Mahajan DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

M MAHAJAN DDS PLLC

Practice address

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

Phone

(509) 307-3837

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Monika Mahajan, DDSNPI 1427214204

Title

General Dentist

Phone

(509) 307-3837

Specialties & licenses 1

Addresses

Other names 1

• Wonderful Smiles Doing business as

Locations

Practitioners 1

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

• Monika Mahajan, DDS

  • Dentist
  • Puyallup, WA
  • NPI 1427214204
  NPD Authorized official

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1447716741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 10TH ST SE STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742191",
            "telephone_number": "509-307-3837"
        },
        {
            "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": "509-307-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M MAHAJAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "509-307-3837",
        "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": [
        {
            "organization_name": "Wonderful Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Luzzo
• Kami Lynch
• Marjorie Lynch
• Rachel Elizabeth Lynn, LMP
• Elizabeth Ann Lyter, DPT
• M Virk & H Skountrianos
• M Virk DMD Ms & E Polsky DDS, P.L.L.C
• Jillayne Macdonald
• Madison O'Grady Macey, MS, RD
• Shelly Macharia, CBT

• Dental Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.