Organization Active NPI

Purebraces LLC

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1568901767
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60222405 Issued in WA
Legal business name
PUREBRACES LLC
Practice address
14205 SE 36TH St
Suite 365
Bellevue, WA 98006-1596
Phone
(425) 643-3912
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Gurpreet S Khurana, DMD
Title
Clinical Director
Phone
(425) 358-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60222405 WA Primary

Addresses

Primary practice location

14205 SE 36TH St
Suite 365
Bellevue, WA 98006-1596

Mailing address

14205 SE 36TH St
Suite 365
Bellevue, WA 98006-1596
Phone (425) 643-3912

National Provider Directory

National Provider Directory

Locations

14205 SE 36th St
Ste 365
Bellevue, WA 98006
Phone (206) 261-8355

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1568901767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST",
            "address_2": "SUITE 365",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061596",
            "telephone_number": "425-643-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST",
            "address_2": "SUITE 365",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061596",
            "telephone_number": "425-643-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREBRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "425-358-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60222405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.