NPIMap

Organization Active NPI

Shadi Mohammadi Araghi PLLC

  • Pediatric Dentistry
  • Issaquah, WA
National Provider Identifier
1013247394
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00010871 Issued in WA
Legal business name
SHADI MOHAMMADI ARAGHI PLLC
Practice address
2520 NE Park Drive
Suite C
Issaquah, WA 98029
Phone
(425) 996-0457
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Shadi Araghi
Title
Owner
Phone
(425) 577-0949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE00010871 WA Primary

Addresses

Primary practice location

2520 NE Park Drive
Suite C
Issaquah, WA 98029

Mailing address

2520 NE Park Drive
Suite C
Issaquah, WA 98029
Phone (425) 996-0457

National Provider Directory

National Provider Directory

Locations

2520 NE Park Dr
Ste C
Issaquah, WA 98029
Phone (425) 996-0457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1013247394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NE PARK DRIVE",
            "address_2": "SUITE C",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98029",
            "telephone_number": "425-996-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 NE PARK DRIVE",
            "address_2": "SUITE C",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98029",
            "telephone_number": "425-996-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADI MOHAMMADI ARAGHI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "ARAGHI",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-577-0949",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.