Individual provider Active NPI

Tatyana Pihur, D.M.D.

  • Dentist
  • Seattle, WA
National Provider Identifier
1003197450
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61015604 Issued in WA
Practice address
2326 5TH Ave
Seattle, WA 98121-1863
Phone
(206) 494-9050
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61015604 WA Primary

Addresses

Primary practice location

2326 5TH Ave
Seattle, WA 98121-1863

Mailing address

415 W Mercer St Apt 504
Seattle, WA 98119-4327
Phone (415) 609-0343

Other practice location 1

450 Sutter St
Suite 2021
San Francisco, CA 94108-4206
Phone (415) 981-4960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE61015604WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Dental Corporation, PC Dentist PastSince Mar 16, 2020 Accepting new patients
Marjan Fathi DDS, Inc PastSince Sep 29, 2019 Accepting new patients

Networks

  • WA PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1003197450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W MERCER ST APT 504",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194327",
            "telephone_number": "415-609-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 5TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211863",
            "telephone_number": "206-494-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Sutter St",
            "address_2": "Suite 2021",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084206",
            "country_code": "US",
            "telephone_number": "415-981-4960",
            "fax_number": "415-981-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIHUR",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61015604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.