Individual provider Active NPI

Nousha Panahpour Eslami, DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1093393258
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61268684 Issued in WA
Practice address
1959 NE Pacific St Box 356370
Seattle, WA 98195-1292
Phone
(206) 543-6501
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DR61164812 WA
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DE61268684 WA Primary

Addresses

Primary practice location

1959 NE Pacific St Box 356370
Seattle, WA 98195-1292

Mailing address

1959 NE Pacific St Box 356370
Seattle, WA 98195-6370
Phone (206) 543-6501

Other practice location 1

7631 212th St SW Ste 109C
Edmonds, WA 98026-7565
Phone (425) 243-0843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007001177 WA Order and Referring Only - DentistPractitioner - Dentist 6901204825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61268684WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
S.S.Buttar, DDS, PLLC PastSince May 14, 2023 Accepting new patients
Philip Paulsen DDS Dentist PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1093393258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 356370",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956370",
            "telephone_number": "206-543-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 356370",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981951292",
            "telephone_number": "206-543-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7631 212th St SW Ste 109C",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267565",
            "country_code": "US",
            "telephone_number": "425-243-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANAHPOUR ESLAMI",
        "first_name": "NOUSHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR61164812",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61268684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.