Pawandeep Kaur DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAWANDEEP KAUR DDS PLLC

Practice address

1107 SW Grady Way Ste 250
Renton, WA 98057-5209

Phone

(425) 687-8860

Fax

(425) 687-8863

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Pawandeep Kaur, DDSNPI 1013358340

Title

Owner Dentist

Phone

(425) 687-8860

Specialties & licenses 1

Addresses

Other names 1

• Renton Smile Dentistry 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.

• Pawandeep Kaur, DDS

  • Dentist
  • Renton, WA
  • NPI 1013358340
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1609508548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SW GRADY WAY STE 250",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575209",
            "telephone_number": "425-687-8860",
            "fax_number": "425-687-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SW GRADY WAY STE 250",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575209",
            "telephone_number": "425-687-8860",
            "fax_number": "425-687-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWANDEEP KAUR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "PAWANDEEP",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "425-687-8860",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renton Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nirav Patel, MD
• Shivani M Patel
• Sidney Roger Patten, DDS MSD
• Laird Patterson
• Connie C Patulot, MD
• Adam Christopher Pazder, R.D.
• Peaceful Heart Therapy, PLLC
• Peak Sports & Spine Physical Therapy-Renton, P.S.
• Katherine Pearce, NP
• William A Pearce, MD

• Dental Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.