Mahadeep Singh Virk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8144 Issued in WA

Practice address

10317 122ND St E
Suite D
Puyallup, WA 98374-2632

Phone

(253) 435-5656

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B Virk DMD Ms, E Polsky DDS & T Steinhart DDS, P.L.L.C.

  dba Woloshyn Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Auburn, WA
  • NPI 1679421820
  NPD Authorized official
• E. Polsky DDS & B. Virk DMD MSD, PLLC

  dba Egger Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Issaquah, WA
  • NPI 1114875366
  NPD Authorized official
• Mahadeep Virk, DMD-Puyallup

  dba Avenue Dental Care

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1013123181
  NPD (past) Authorized official
• Skountrianos DDS Ms & Virk DMD Ms PLLC

  dba Orthodontic Excellence

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Puyallup, WA
  • NPI 1033067277
  NPD
• V Sharma DMD, PS

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
  • NPI 1710446406
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730309113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E",
            "address_2": "SUITE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632",
            "telephone_number": "253-435-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E",
            "address_2": "SUITE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632",
            "telephone_number": "253-435-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRK",
        "first_name": "MAHADEEP",
        "middle_name": "SINGH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelin Vince Cruz, ARNP
• Robert Laurence Vincent, M.A., LMFT
• Angela A Viniarski, M.D.
• Joyce A Vipond, O.T.
• Mimi Lasamy Virachi
• Amy Vraney Virnig, ARNP
• Vision Quest Chiropractic Puyallup Inc
• Andriy Viter, MD
• Viva Nutrition Counseling LLC
• Ann K Viviano, MS MA OT SLP

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, 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 Jul 8, 2007; 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.