Organization Active NPI

All Smilez, Inc.

Doing business as All Smilez

  • General Practice Dentistry
  • Mount Vernon, WA
National Provider Identifier
1003955717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009719 Issued in WA
Legal business name
ALL SMILEZ, INC.
Doing business as
All Smilez
Practice address
1930 E College Way
Ste. a
Mount Vernon, WA 98273-2393
Phone
(360) 428-4300
Fax
(360) 424-1858
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Khodayar Dehghan, D.D.S.NPI 1184763872
Title
President, All Smilez, Inc.
Phone
(360) 428-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00009719 WA Primary

Addresses

Primary practice location

1930 E College Way
Ste. a
Mount Vernon, WA 98273-2393

Mailing address

1930 E College Way
Ste. a
Mount Vernon, WA 98273-2393
Phone (360) 428-4300

Other names 1

  • All Smilez Doing business as

National Provider Directory

National Provider Directory

Locations

1930 E College Way
Ste A
Mount Vernon, WA 98273
Phone (360) 428-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003955717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 E COLLEGE WAY",
            "address_2": "STE. A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732393",
            "telephone_number": "360-428-4300",
            "fax_number": "360-424-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E COLLEGE WAY",
            "address_2": "STE. A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732393",
            "telephone_number": "360-428-4300",
            "fax_number": "360-424-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILEZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHGHAN",
        "authorized_official_first_name": "KHODAYAR",
        "authorized_official_title_or_position": "PRESIDENT, ALL SMILEZ, INC.",
        "authorized_official_telephone_number": "360-428-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smilez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.