Im Ghorbanian Kahlon DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IM GHORBANIAN KAHLON DDS PLLC

Practice address

404 Main Ave S
North Bend, WA 98045-8215

Phone

(425) 669-9015

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Sarah Im

Title

Office Manager

Phone

(425) 669-9015

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1477057255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MAIN AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458215",
            "telephone_number": "425-669-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MAIN AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458215",
            "telephone_number": "425-669-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM GHORBANIAN KAHLON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-669-9015"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1518111541",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1013323518",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1275606188",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1023149358",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Maureen Hockenbury, DOULA
• Jeong Hong
• Zoe Hopkins
• Autumn Rose Howard
• Katherine Marie Hundley, LMP
• Mihaela Iordache, RPH
• James Morley Professional Service
• Catherine Anne Jenner
• Annie Mortensen Jensen
• Kewn Johnson

• Dental Clinic/Center in North Bend, WA
• Providers in North Bend, 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 Mar 19, 2018; 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.