Kimandeep Kaur Raked

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60674956 Issued in WA

Practice address

10510 Gravelly Lake Dr SW
Tacoma, WA 98499-5036

Phone

(253) 597-4550

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 17, 2016 through Oct 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Singhmonte LLC

  • Dentist
  • Seattle, WA
  • NPI 1992219166
  NPD Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1659729648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 BROADWAY STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023518",
            "telephone_number": "253-597-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 GRAVELLY LAKE DR SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984995036",
            "telephone_number": "253-597-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5217 S 170th Ln",
            "address_purpose": "LOCATION",
            "city": "Seatac",
            "state": "WA",
            "postal_code": "981883282",
            "country_code": "US",
            "telephone_number": "206-430-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Rainier Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98144",
            "country_code": "US",
            "telephone_number": "206-588-2692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKED",
        "first_name": "KIMANDEEP",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60674956",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainier View Adult Family Home Inc.
• Courtney Raisio, LMP
• Laima Raize, LPN
• Sabrina S Raj, DNP
• Nicholas Rajacich, MD
• Lisa M Ralston, MPT
• Arjun Deepesh Ram, MD
• Wilfred Paul Ramalho Jr., DDS
• Marilyn Ramberg, MD
• Lerato Rosemary Rametse

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.