Sogol Seghatoleslami, DDS. MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE61187204 Issued in WA

Practice address

8305 W Quinault Ave
Kennewick, WA 99336-1138

Phone

(509) 628-0110

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seghatoleslami and Naghibi PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Everett, WA
  • NPI 1629816301
  NPD Authorized official
• Jr Almond & BM Almond PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kennewick, WA
  • NPI 1912780917
  NPD

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1033873203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N CENTER PKWY APT F201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368224",
            "telephone_number": "949-540-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 W QUINAULT AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361138",
            "telephone_number": "509-628-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGHATOLESLAMI",
        "first_name": "SOGOL",
        "name_prefix": "Dr.",
        "credential": "DDS. MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE61187204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Scully, MD
• Kristin Sealock
• Sean L. Mathews DMD
• Andre Sebero
• Tracy Seegrist, LMP
• Sherry Lea Seitz, LMP
• Sarah Sells, CM 60743840
• Shivyon Senekham
• Senior Life Resources Northwest
• Senior Moments

• Orthodontics and Dentofacial Orthopedics Dentistry in Kennewick, WA
• Providers in Kennewick, 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 Oct 30, 2021; 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.