Individual provider Active NPI

Anand Pullat, DDS, MHA

  • Dentist
  • Burien, WA
National Provider Identifier
1861832446
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3821-15 Issued in MS
Practice address
14212 Ambaum Blvd SW Ste 1
Burien, WA 98166-1437
Phone
(206) 343-0000
NPI assigned
Jun 27, 2013
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3821-15 MS Primary

Addresses

Primary practice location

14212 Ambaum Blvd SW Ste 1
Burien, WA 98166-1437

Mailing address

126 SW 148TH St Ste C100-212
Burien, WA 98166-1984
Phone (917) 913-6096

Other names 1

  • Dr. Twinkle Anand Former name

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

LicenseStateTypeSpecialty
3821-15MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anand Pullat DDS PLLC Current Accepting new patients
Anand Pullat DDS PLLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1861832446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SW 148TH ST STE C100-212",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661984",
            "telephone_number": "917-913-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW STE 1",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661437",
            "telephone_number": "206-343-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLAT",
        "first_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "DDS, MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3821-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TWINKLE",
            "last_name": "ANAND",
            "prefix": "DR.",
            "credential": "DDS, MHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.