NPIMap

Organization Active NPI

Millennium Dental Clinic

  • Dentist
  • Kirkland, WA
National Provider Identifier
1023455540
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MILLENNIUM DENTAL CLINIC
Practice address
1619 Market St
Kirkland, WA 98033-4963
Phone
(425) 803-0400
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Camran Zafarnia, DDSNPI 1891919775
Title
Dentist
Phone
(425) 803-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1619 Market St
Kirkland, WA 98033-4963

Mailing address

1619 Market St
Kirkland, WA 98033-4963

National Provider Directory

National Provider Directory

Locations

1619 Market St
Kirkland, WA 98033
Phone (425) 803-0400

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": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1023455540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334963",
            "telephone_number": "425-803-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "ZAFARNIA",
        "authorized_official_first_name": "CAMRAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-803-0400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.