Covington Orthodontics and Pediatric Dentistry L.L.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C.

Practice address

17121 SE 270TH PL
Ste 102
Covington, WA 98042-5431

Phone

(253) 533-2999

NPI assigned

Jan 30, 2017

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahadeep Virk, DDS

Title

Owner

Phone

(206) 786-5351

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1780121673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 SE 270TH PL",
            "address_2": "STE 102",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425431",
            "telephone_number": "253-533-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 SE 270TH PL",
            "address_2": "STE 102",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425431",
            "telephone_number": "253-533-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "VIRK",
        "authorized_official_first_name": "MAHADEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-786-5351",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covington Chiropractic LLC
• Covington Family Dental, PLLC
• Covington Family Dentistry, PLLC (Covington Family Dentistry)
• Covington Family Wellness Inc
• Covington Multicare Hospital Pharmacy
• Covington Pharmacy Inc
• W. R. Crow, PHARM-D, CDM, CDE
• Danielle Michelle Cullen, RN
• Todd A Curtis, MD
• Abigail R Czekaj, RDN, LD

• Pediatric Dentistry in Covington, WA
• Providers in Covington, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.