Organization Active NPI

Navdeep Singh Virk DDS PS

Doing business as Avenue Dental Care

  • Dentist
  • Spokane, WA
National Provider Identifier
1649329285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9177 Issued in WA
Legal business name
NAVDEEP SINGH VIRK DDS PS
Doing business as
Avenue Dental Care
Practice address
755 E Holland Ave
Spokane, WA 99218-5000
Phone
(509) 467-8000
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Babs Virk
Title
Corporate Officer
Phone
(509) 467-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9177 WA Primary

Addresses

Primary practice location

755 E Holland Ave
Spokane, WA 99218-5000

Mailing address

755 E Holland Ave
Spokane, WA 99218-5000
Phone (509) 467-8000

Other identifiers 1

IdentifierTypeStateIssuer
9177OtherWASTATE LICENSE NUMBER

Other names 1

  • Avenue Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649329285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E HOLLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992185000",
            "telephone_number": "509-467-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E HOLLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992185000",
            "telephone_number": "509-467-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVDEEP SINGH VIRK DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "BABS",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "509-467-8000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "9177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "9177",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.