KIMANDEEP KAUR RAKED
NPI 1659729648
Dentist - General Practice in Tacoma, WA

Active since May 31, 2016Opted out of Medicare · through Oct 17, 2026
10510 GRAVELLY LAKE DR SW, TACOMA, WA 98499(253) 597-4550 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2021, Jun 12, 2018 (2 updates tracked since 2018).

About Kimandeep Kaur Raked NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMANDEEP KAUR RAKED (NPI 1659729648) is an individual general practice provider in Tacoma, Washington, licensed in Washington (60674956) and active in the NPI registry since May 2016. She has opted out of Medicare through October 17, 2026 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659729648
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKIMANDEEP KAUR RAKED
Location Address10510 GRAVELLY LAKE DR SWTacoma, WA 98499-5036
Mailing Address1148 Broadway Ste 100Tacoma, WA 98402-3518 · (253) 597-4550
Sole ProprietorYes
Enumeration DateMay 31, 2016
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
NPI 1659729648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 60674956
Definition
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.
10510 GRAVELLY LAKE DR SW, Tacoma, WA 98499

Secondary Practice Locations 2

Location 15217 S 170th LnSeatac, WA 98188-3282 · Phone (206) 430-3379
Location 23333 Rainier Ave SSeattle, WA 98144 · Phone (206) 588-2692

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kimandeep Kaur Raked has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 17, 2016 through October 17, 2026.

Opt-Out Effective DateOctober 17, 2016
Opt-Out In Effect ThroughOctober 17, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Clinic/Center (Community Health)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Internal Medicine
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Community Health Worker
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Dental Hygienist
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Family Medicine
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Registered Nurse
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Dentist (General Practice)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimandeep Raked's NPI number?

The NPI number for Kimandeep Raked is 1659729648. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Kimandeep Raked located?

Kimandeep Raked practices at 10510 Gravelly Lake Dr SW, Tacoma, WA 98499. The listed phone number is (253) 597-4550.

What is Kimandeep Raked's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kimandeep Raked enrolled in Medicare?

No. Kimandeep Raked has opted out of Medicare through October 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kimandeep Raked accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Kimandeep Raked as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimandeep Raked was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.