Active NPI
Gurveen Kaur Khatkar, DDS
- Dentist
- Graham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61088084
- Practice address
- 22205 Meridian E Ste 109
Graham, WA 98338-9781 - Phone
- (253) 875-6599
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11345 | OR | |
| Dentist | 122300000X | DE61088084 | WA | Primary |
Addresses
Primary practice location
22205 Meridian E Ste 109
Graham, WA 98338-9781
Mailing address
22205 Meridian E Ste 109
Graham, WA 98338-9781
Phone (253) 875-6599
Other practice location 1
2725 S 6th St
Klamath Falls, OR 97603-4603
Phone (541) 887-3046
Other practice location 2
9125 Bridgeport Way SW Ste 101
Lakewood, WA 98499-2448
Phone (253) 581-6140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11345 | OR | MD | Dentist |
| DE61088084 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seung Jae Joung DMD PLLC | Current | Accepting new patients | |
| Drew Dentistry | Current | Accepting new patients | |
| Jun Carrington DMD PLLC | Past | Accepting new patients | |
| DJ and Ak Spencer DMD PS | Dentist | Past | Accepting new patients |
Locations
22205 Meridian E
Ste 109
Graham, WA 98338
Phone (253) 875-6599
9125 Bridgeport Way SW
Ste 101
Lakewood, WA 98499
Phone (253) 581-6140
Organizations & group practices 4
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 Clinic/Center
- Lakewood, WA
- NPI 1376252916
-
- Dental Clinic/Center
- Graham, WA
- NPI 1619605326
-
- Dentist
- Graham, WA
- NPI 1336524594
-
- General Practice Dentistry
- Lakewood, WA
- NPI 1558229583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1740897545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22205 MERIDIAN E STE 109",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983389781",
"telephone_number": "253-875-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22205 MERIDIAN E STE 109",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983389781",
"telephone_number": "253-875-6599"
}
],
"practiceLocations": [
{
"address_1": "2725 S 6th St",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "976034603",
"country_code": "US",
"telephone_number": "541-887-3046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9125 Bridgeport Way SW Ste 101",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984992448",
"country_code": "US",
"telephone_number": "253-581-6140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHATKAR",
"first_name": "GURVEEN",
"middle_name": "KAUR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11345",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61088084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.