NPIMap

Organization Active NPI

Perfect Smiles Dentistry PLLC

  • Dentist
  • Everett, WA
National Provider Identifier
1649725748
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00011107 Issued in WA
Legal business name
PERFECT SMILES DENTISTRY PLLC
Practice address
1510 SE Everett Mall Way
Suite C
Everett, WA 98208-2863
Phone
(425) 513-2222
Fax
(425) 347-4649
NPI assigned
Aug 18, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Dr. Kavitha Gowda, DDSNPI 1235292301
Title
Dentist/Owner
Phone
(425) 513-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE00011107 WA Primary

Addresses

Primary practice location

1510 SE Everett Mall Way
Suite C
Everett, WA 98208-2863

Mailing address

1510 SE Everett Mall Way
Suite C
Everett, WA 98208-2863
Phone (425) 513-2222

National Provider Directory

National Provider Directory

Locations

1510 SE Everett Mall Way
Ste C
Everett, WA 98208
Phone (425) 513-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1649725748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SE EVERETT MALL WAY",
            "address_2": "SUITE C",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082863",
            "telephone_number": "425-513-2222",
            "fax_number": "425-347-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SE EVERETT MALL WAY",
            "address_2": "SUITE C",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082863",
            "telephone_number": "425-513-2222",
            "fax_number": "425-347-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILES DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "425-513-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011107",
            "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 Aug 18, 2016; 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.