NPIMap

Organization Active NPI

Dhaliwal, DDS, PLLC

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1750834883
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60243483 Issued in WA
Legal business name
DHALIWAL, DDS, PLLC
Practice address
10725 SE 256TH St Ste 1
Kent, WA 98030-8285
Phone
(253) 854-2714
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Dr. Manpreet Dhaliwal, DDSNPI 1114208782
Title
Owner
Phone
(253) 854-2714

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60243483 WA Primary

Addresses

Primary practice location

10725 SE 256TH St Ste 1
Kent, WA 98030-8285

Mailing address

10725 SE 256TH St Ste 1
Kent, WA 98030-8285
Phone (253) 854-2714

Other identifiers 1

IdentifierTypeStateIssuer
2024505MedicaidWA

Other names 1

  • Complete Dental care Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1750834883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 SE 256TH ST STE 1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308285",
            "telephone_number": "253-854-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 SE 256TH ST STE 1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308285",
            "telephone_number": "253-854-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHALIWAL, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-854-2714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60243483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024505",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Dental care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.