DR. SAMRUDHI PRAKASH NAKHWA (NPI# 1700330693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700330693 |
| Entity Type | Individual |
| Full Name | DR. SAMRUDHI PRAKASH NAKHWA |
| Credential | DDS |
| Practice Address |
12616 Renton Ave S Seattle WA 98178-3711 |
| Mailing Address |
808 2nd Ave Apt Kirkland Kirkland WA 98033-6029 |
| Practice Telephone | 2062804582 |
| Mailing Telephone | 4255037828 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60675696 | WA | Dental Providers |
| Street Address |
12616 RENTON AVE S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98178-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861694366 | A&h Stores Inc. | Pharmacy | 12616 Renton Ave S, Seattle, WA 98178-3711 | 2007-06-05 |
| 1063794477 | Janice Yunsi Chen | Dentist | 12616 Renton Ave S, Suite 110, Seattle, WA 98178-3711 | 2011-09-12 |
| 1790018976 | South Seattle Dental | Clinic/Center | 12616 Renton Ave S, Seattle, WA 98178-3711 | 2009-09-06 |
| 1649478900 | Harry Hon-lin Lau | Dentist | 12616 Renton Ave S, Seattle, WA 98178-3711 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417474990 | Jerid Norbert Stevenot | Occupational Therapist | 12037 80th Ave S, Seattle, WA 98178 | 2017-08-25 |
| 1518203785 | Pioneer Human Services | Substance Abuse Rehabilitation Facility | 11900 Beacon Avenue S., Seattle, WA 98178 | 2012-12-17 |
| 1740514439 | Jae Lyung Hur | Dentist | 7632 S 126th St., Seattle, WA 98178 | 2009-09-28 |
| 1649411190 | Premier Nursing Care Agency | Registered Nurse | 5707 South Augusta St, Seattle, WA 98178 | 2009-03-13 |
| 1861641177 | Bonnie M Lee | Massage Therapist | 10460 Waters Ave S., Seattle, WA 98178 | 2008-09-10 |
| 1558424473 | Planned Parenthood of The Great Northwest and The Hawaiian Islands | Clinic/Center | 2001 East Madison Street, Seattle, WA 98178 | 2006-12-19 |
| 1689787913 | Brian Wilhoi Chan | Chiropractor | 12419 Rentan Ave S, Seattle, WA 98178 | 2006-08-17 |
| 1780110106 | Rachael Bowler | Student in an Organized Health Care Education/Training Program | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| 1508392937 | Tam Pham | Behavior Technician | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| 1093241424 | Brenda Taylor | Behavior Technician | 12430 83rd Ave S, Seattle, WA 98178 | 2017-05-04 |
| Find all providers in zip 98178 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1073138558 | Mijin Choi | Dentist | 285 8th Ave N Apt 204, Seattle, WA 98109-5173 | 2020-06-10 |
| 1578020632 | Abu & Del Rosario, Pllc | Dentist | 1220 Howell St Ste 110, Seattle, WA 98101-1407 | 2019-02-25 |
| 1649755505 | William Lowrey | Dentist | 836 Ne 67th St Apt 712, Seattle, WA 98115-5882 | 2018-09-26 |
| 1215419809 | Gregory Arlen Maggass Jr. | Dentist | 4222 7th Ave Ne Apt 8, Seattle, WA 98105-6086 | 2018-08-30 |
| 1295214757 | Suzanne S Hall | Dentist | 515 N 138th St, Seattle, WA 98133-7420 | 2018-08-07 |
| 1871088195 | Hanbit Chi, Dds, Ps | Dentist | 1331 Harbor Ave Sw Ste 100, Seattle, WA 98116-1776 | 2018-06-28 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.