Bellevue Eastsied Orthodontic Center

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00006222 Issued in WA

Legal business name

BELLEVUE EASTSIED ORTHODONTIC CENTER

Practice address

15700 Bel Red Rd
Bellevue, WA 98008-2231

Phone

(425) 881-8180

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Ann Burchard

Title

Treatment Coordinator

Phone

(425) 881-8180

Specialties & licenses 1

Addresses

Other names 1

• Dr Keyvan Naficy Doing business as

Practitioners 1

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

• Kevin Naficy, MSD, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellevue, WA
  • NPI 1033202866
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1013463736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 BEL-RED ROAD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98008",
            "telephone_number": "425-881-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 BEL RED RD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082231",
            "telephone_number": "425-881-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE EASTSIED ORTHODONTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BURCHARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "425-881-8180",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00006222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Keyvan Naficy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellevue Clinic and Surgery Center
• Bellevue Clinic for Behavioral Health
• Bellevue Community Services
• Bellevue Dentist
• Bellevue Ear, Nose & Throat Clinic, Inc
• Bellevue Family Counseling LLC
• Bellevue Family Medicine Associates P.S.
• Bellevue Gardens LLC
• Bellevue Hand Surgery
• Bellevue Haven Adult Family Home, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.