M Virk DMD, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

M VIRK DMD, PLLC

Practice address

1622 Grove Street
Marysville, WA 98270-4302

Phone

(360) 659-5611

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Brenda Gray

Title

Office Manager

Phone

(253) 236-7456

Specialties & licenses 1

Addresses

Other names 1

• Dentistry @ Marysville 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.

• Tara L Hudson, DDS

  • Dentist
  • Marysville, WA
  • NPI 1871689950
  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1629706502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E STE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 GROVE STREET",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704302",
            "telephone_number": "360-659-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M VIRK DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-236-7456"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry @ Marysville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Melony Lucey, LMP
• Christopher George Lugo, D.M.D.
• Cuong Q. Luu, D.D.S.
• Monique Luu
• Faith E Lykken, LMP
• Erica Renee Maccurdy, LMT
• Madeleine Villa Inc.
• Madisons Counseling PLLC
• Madrona Therapy Group, P.C.
• Justin Maduobi

• Dentist in Marysville, WA
• Providers in Marysville, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.