Active NPI
Gurdarshan Singh Dhanda, MD
- Diagnostic Radiology Physician
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00037563
- Practice address
- 3417 Ensign Rd NE
Olympia, WA 98506-5075 - Phone
- (360) 493-4601
- Fax
- (360) 493-4603
- NPI assigned
- Nov 4, 2005
- Last updated
- Jul 26, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00037563 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 76641 | TN |
Addresses
Primary practice location
3417 Ensign Rd NE
Olympia, WA 98506-5075
Mailing address
3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4601
Other practice location 1
2001 Laurel Ave Ste N304
Knoxville, TN 37916-1810
Phone (865) 595-4100
Other practice location 2
7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8251480 | Medicaid | WA |
Other names 1
- Dr. Gordon G.S. Dhanda
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76641 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Radiology Aberdeen LLC | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
dba Grays Harbor Imaging LLC
- Diagnostic Radiology Physician
- Aberdeen, WA
- NPI 1194819086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785024000000",
"number": "1760473078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 ENSIGN RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065064",
"telephone_number": "360-493-4601",
"fax_number": "360-493-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 ENSIGN RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065075",
"telephone_number": "360-493-4601",
"fax_number": "360-493-4603"
}
],
"practiceLocations": [
{
"address_1": "2001 Laurel Ave Ste N304",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379161810",
"country_code": "US",
"telephone_number": "865-595-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7211 Wellington Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379195968",
"country_code": "US",
"telephone_number": "865-588-8005",
"fax_number": "865-588-7716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHANDA",
"first_name": "GURDARSHAN",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00037563",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "76641",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8251480",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GORDON",
"last_name": "DHANDA",
"middle_name": "G.S.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.