Shahin Etemadi, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE00010167 Issued in WA

Practice address

10025 19TH Ave SE
Ste 202
Everett, WA 98208-4275

Phone

(425) 357-8747

Fax

(425) 337-6190

NPI assigned

Dec 14, 2005

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Male

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Endodontics

  • Endodontics
  • Everett, WA
  • NPI 1104056910
  NPD Authorized official

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1093790826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 19TH AVE SE STE 202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084275",
            "telephone_number": "425-357-8747",
            "fax_number": "425-337-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 19TH AVE SE",
            "address_2": "STE 202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084275",
            "telephone_number": "425-357-8747",
            "fax_number": "425-337-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMADI",
        "first_name": "SHAHIN",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00010167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Estep, RPH
• Abbey L Estrada, RD
• Matluba Mekhmanova Estrada, PH.60926241
• Megan Etchieson
• Massih Etemadi, DMD
• Ryan Etue II
• Elizabeth Etzkorn
• European Therapeutic Massage
• European Therapeutic Massage
• Kenneth Evangelista

• Endodontics in Everett, WA
• Providers in Everett, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.