{
"Npi": {
"NPI": "1770421497",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GAGANDEEPKAURLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4807 133RD STREET CT NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GIG HARBOR",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98332-7851",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "646-265-3740",
"MailingAddressFaxNumber": "646-265-3740",
"FirstLinePracticeLocationAddress": "21 NE ROMANCE HILL RD STE 103",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELFAIR",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98528-8315",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-275-6292",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/23/2026",
"LastUpdateDate": "03/23/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAUR",
"AuthorizedOfficialFirstName": "GAGAN",
"AuthorizedOfficialMiddleName": "DEEP",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "646-265-3740",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}