Organization Active NPI

Smilevibe Dentistry

  • Dental Clinic/Center
  • Renton, WA
National Provider Identifier
1902667033
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILEVIBE DENTISTRY
Practice address
19221 108TH Ave SE Suite 2
Renton, WA 98055-7369
Phone
(425) 988-0801
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Suraj Bhogal, DMDNPI 1396363693
Title
Dentist
Phone
(732) 609-2344

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

19221 108TH Ave SE Suite 2
Renton, WA 98055-7369

Mailing address

19221 108TH Ave SE Suite 2
Renton, WA 98055-7369
Phone (425) 988-0801

National Provider Directory

National Provider Directory

Locations

19221 108th Ave SE
Ste 2
Renton, WA 98055
Phone (425) 988-0801

Practitioners & affiliated clinicians

Practitioners 1

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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1902667033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 108TH AVE SE SUITE 2",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557369",
            "telephone_number": "425-988-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 108TH AVE SE SUITE 2",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557369",
            "telephone_number": "425-988-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEVIBE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "BHOGAL",
        "authorized_official_first_name": "SURAJ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-609-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.