Mehran Varedi DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE60473974 Issued in WA

Legal business name

MEHRAN VAREDI DDS, PLLC

Practice address

14027 Ambaum Blvd SW
Unit A2
Burien, WA 98166-1207

Phone

(205) 587-4669

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Mehran Varedi, D.D.SNPI 1649671934

Title

Dentist

Phone

(205) 587-4669

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northwest Dental Care Inc Former legal business name

Locations

Practitioners 1

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

• Mehran Varedi

  • Dentist
  • Fife, WA
  • NPI 1649671934
  NPD (past) Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1023412871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 64TH AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242337",
            "telephone_number": "205-587-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14027 AMBAUM BLVD SW",
            "address_2": "UNIT A2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661207",
            "telephone_number": "205-587-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN VAREDI DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "VAREDI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-587-4669",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60473974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL",
            "identifier": "1649671934",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Dental Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sommer McWhirter
• Claire Rose Medica, RN, BSN
• Juan Ramon Medina Jr., LMP
• Suzanne Mehl, LMT
• Mehran Varedi DDS, PLLC
• Neera Mehta, MS, LMHC
• Jacqueline Anne Meier, LMT
• Alejandra Mejia, MA, LMHC
• Zewdu M Mekonnen
• Sosena Bekele Mekuria, RN

• Dentist in Burien, WA
• Providers in Burien, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.