Navdeep S. Virk

Primary specialty

DentistTaxonomy code 122300000X

License

9177 Issued in WA

Legal business name

NAVDEEP S. VIRK

Doing business as

Avenue Dental Care

Practice address

12122 E Cataldo Ave
Spokane Valley, WA 99206-6724

Phone

(509) 926-1500

Fax

(509) 892-0200

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ingrid Margaret Mohr, O.M.

Title

Office Manager

Phone

(509) 926-1500

Specialties & licenses 1

Addresses

Other names 1

• Avenue Dental Care 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, and the practitioner matching its NPPES authorized official.

• Navdeep Singh Virk, D.D.S.

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1134224801
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568679702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12122 E CATALDO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066724",
            "telephone_number": "509-926-1500",
            "fax_number": "509-892-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12122 E CATALDO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066724",
            "telephone_number": "509-926-1500",
            "fax_number": "509-892-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVDEEP S. VIRK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHR",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-926-1500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.M."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "9177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.