DR. MONICA JETHWANI (NPI# 1871867069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871867069 |
| Entity Type | Individual |
| Full Name | DR. MONICA JETHWANI |
| Credential | DDS |
| Practice Address |
601 S Carr Rd Ste 350 Renton WA 98055-5854 |
| Mailing Address |
3920 Stone Way N Apt 424 Seattle WA 98103-8044 |
| Practice Telephone | 4252273368 |
| Mailing Telephone | 3104478684 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE60665049 | WA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401413488 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PENDING | 05 |
| Street Address |
601 S CARR RD STE 350 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366657165 | Andrew Miles Johnson | Dentist | 601 S Carr Rd Ste 350, Renton, WA 98055-5854 | 2007-05-14 |
| 1265861546 | Christopher Maguire-adams | Dentist | 601 S Carr Rd Ste 350, Renton, WA 98055-5854 | 2013-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
| 1366657165 | Andrew Miles Johnson | Dentist | 601 S Carr Rd Ste 350, Renton, WA 98055-5854 | 2007-05-14 |
| 1710053517 | Sidney Roger Patten | Dentist | 17600 Talbot Road South, Suite 5, Renton, WA 98055 | 2006-11-27 |
| 1558768739 | Wong Hsu On Su & Liao Dds Pllc | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2014-12-03 |
| 1720381254 | Susan Elizabeth Roberts | Dentist | 555 S Renton Village Pl, Ste 786, Renton, WA 98057-3294 | 2010-12-05 |
| 1619196664 | Mandy J. Louis, D.m.d., P.l.l.c. | Dentist | 17600 Talbot Rd S, Suite 5, Renton, WA 98055-5788 | 2007-04-25 |
| 1609095744 | Mandy J. Louis | Dentist | 16655 108th Ave Se, Renton, WA 98055-5108 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
| 1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1679099246 | Randy L Ball Pllc | Dentist | 336 228th Ave Ne Ste 201, Sammamish, WA 98074-7290 | 2017-08-16 |
| 1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1316494537 | Dr. Timothy L Sweatman Dds Ps | Dentist | 775 E Holland Ave Ste 202, Spokane, WA 99218-5016 | 2016-09-06 |
| Find all providers with the same taxonomy | ||||
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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.