Organization Active NPI

Intelligent Dentistry PLLC

  • Dentist
  • Bellevue, WA
National Provider Identifier
1033941661
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
INTELLIGENT DENTISTRY PLLC
Practice address
14535 NE Bel Red Rd Ste 101B
Bellevue, WA 98007-3907
Phone
(425) 300-1239
NPI assigned
Aug 14, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Sofiya Dzhalovskiy
Title
Office Manager
Phone
(206) 280-2237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

14535 NE Bel Red Rd Ste 101B
Bellevue, WA 98007-3907

Mailing address

14535 NE Bel Red Rd Ste 101B
Bellevue, WA 98007-3907
Phone (425) 300-1239

National Provider Directory

National Provider Directory

Locations

14535 NE Bel Red Rd
Ste 101B
Bellevue, WA 98007
Phone (425) 300-1239

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1033941661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 NE BEL RED RD STE 101B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073907",
            "telephone_number": "425-300-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 NE BEL RED RD STE 101B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073907",
            "telephone_number": "425-300-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "DZHALOVSKIY",
        "authorized_official_first_name": "SOFIYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-280-2237"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.