Active NPI
Mahadeep Virk DMD Everett, PS
- General Practice Dentistry
- Everett, WA
National Provider Identifier
1578644100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8144
- Legal business name
- MAHADEEP VIRK DMD EVERETT, PS
- Practice address
- 8625 Evergreen Way 212
Everett, WA 98208 - Phone
- (425) 438-8584
- Fax
- (425) 438-2625
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mona L Horn
- Title
- Office Manager
- Phone
- (425) 438-8584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8144 | WA | Primary |
Addresses
Primary practice location
8625 Evergreen Way 212
Everett, WA 98208
Mailing address
8625 Evergreen Way 212
Everett, WA 98208
Phone (425) 438-8584
National Provider Directory
National Provider DirectoryLocations
8625 Evergreen Way
Ste 212
Everett, WA 98208
Phone (425) 438-8584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1578644100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8625 EVERGREEN WAY 212",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-438-8584",
"fax_number": "425-438-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8625 EVERGREEN WAY 212",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-438-8584",
"fax_number": "425-438-2625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHADEEP VIRK DMD EVERETT, PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "HORN",
"authorized_official_first_name": "MONA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "425-438-8584"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "8144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.