NPIMap

Organization Active NPI

Nurani, Mitchell, Kim, PC

  • Dentist
  • Issaquah, WA
National Provider Identifier
1609211697
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008078 Issued in WA
Legal business name
NURANI, MITCHELL, KIM, PC
Practice address
775 NW Gilman Blvd Ste D
Issaquah, WA 98027-5374
Phone
(425) 507-1000
Fax
(425) 369-3181
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Dr. Ashifa A Nurani, DDS
Title
President
Phone
(714) 578-6358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE00008078 WA Primary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X

Addresses

Primary practice location

775 NW Gilman Blvd Ste D
Issaquah, WA 98027-5374

Mailing address

775 NW Gilman Blvd Ste D
Issaquah, WA 98027-5374
Phone (425) 507-1000

Other names 1

  • BRIGHTNOW DENTAL - ISSAQUAH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Now Dental23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

775 NW Gilman Blvd
Ste D
Issaquah, WA 98027
Phone (425) 507-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1609211697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 NW GILMAN BLVD STE D",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275374",
            "telephone_number": "425-507-1000",
            "fax_number": "425-369-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 NW GILMAN BLVD STE D",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275374",
            "telephone_number": "425-507-1000",
            "fax_number": "425-369-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURANI, MITCHELL, KIM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "NURANI",
        "authorized_official_first_name": "ASHIFA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008078",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTNOW DENTAL - ISSAQUAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.