Active NPI
Kirandeep K. Malhi, DMD
- General Practice Dentistry
- Lynnwood, WA
National Provider Identifier
1801065032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00011052
- Practice address
- 19723 Highway 99
Suite a
Lynnwood, WA 98036-6051 - Phone
- (425) 775-3456
- Fax
- (425) 775-0716
- NPI assigned
- Feb 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00011052 | WA | Primary |
Addresses
Primary practice location
19723 Highway 99
Suite a
Lynnwood, WA 98036-6051
Mailing address
19723 Highway 99
Suite a
Lynnwood, WA 98036-6051
Phone (425) 775-3456
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 |
|---|---|---|---|
| DE00011052 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1801065032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19723 HIGHWAY 99",
"address_2": "SUITE A",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366051",
"telephone_number": "425-775-3456",
"fax_number": "425-775-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19723 HIGHWAY 99",
"address_2": "SUITE A",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366051",
"telephone_number": "425-775-3456",
"fax_number": "425-775-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHI",
"first_name": "KIRANDEEP",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00011052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.