Richa Jayesh Kamdar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61451629 Issued in WA

Practice address

23818 225TH Ave SE Ste 100
Maple Valley, WA 98038-5088

Phone

(425) 358-2553

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dental Professionals of Washington Quirt Mongrain Gibree PC

  • General Practice Dentistry
  • Maple Valley, WA
  • NPI 1518569086
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1669150595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 176TH PL SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125087",
            "telephone_number": "206-605-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23818 225TH AVE SE STE 100",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385088",
            "telephone_number": "425-358-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDAR",
        "first_name": "RICHA",
        "middle_name": "JAYESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61451629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Jones, OTR/L
• Janell M Jordan, CERTIFIED COUNSELOR
• Daphne Juarez-Navarro
• Joshua H Kachner, M.D.
• Lauren Kaltz, PA-C
• Lauren Kanda, MA
• Andrea Aerin Kang
• Robert Bryce Kans, CBT
• Sableen Kaur, MS
• Kevin'S Manual Therapy and Rehab LLC

• Dentist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.