Organization Active NPI

Mahadeep Virk DMD Everett, PS

  • General Practice Dentistry
  • Everett, WA
National Provider Identifier
1578644100
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8144 Issued in WA
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

Updated by the provider on Jun 12, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.