Individual provider Active NPI

Kamalpreet Jaswal, DDS

  • General Practice Dentistry
  • Washougal, WA
National Provider Identifier
1518445469
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60861776 Issued in WA
Practice address
3307 Evergreen Way Ste 706
Washougal, WA 98671-2065
Phone
(360) 335-8899
Fax
(360) 335-1219
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60861776 WA Primary

Addresses

Primary practice location

3307 Evergreen Way Ste 706
Washougal, WA 98671-2065

Mailing address

3307 Evergreen Way Ste 706
Washougal, WA 98671-2065
Phone (360) 335-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180927002516 WA Order and Referring Only - DentistPractitioner - Dentist 3274884481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60861776WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Hills Dental CurrentSince Oct 9, 2022 Accepting new patients
Ayman K Farah, DDS, PS General Practice PastSince Oct 9, 2022 Accepting new patients

Locations

3307 Evergreen Way
Ste 706
Washougal, WA 98671
Phone (360) 335-8899

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1518445469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY STE 706",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712065",
            "telephone_number": "360-335-8899",
            "fax_number": "360-335-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY STE 706",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712065",
            "telephone_number": "360-335-8899",
            "fax_number": "360-335-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASWAL",
        "first_name": "KAMALPREET",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60861776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

Verify at the official NPI Registry.