Naghmeh J Izadi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7720 Issued in WA

Practice address

4100 194TH St SW Ste 210
Lynnwood, WA 98036-4613

Phone

(425) 774-7794

Fax

(425) 670-8137

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Naghmeh J Izadi, DMD

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1225481062
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1104049154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 194TH ST SW STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364613",
            "telephone_number": "425-774-7794",
            "fax_number": "425-670-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 194TH ST SW STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364613",
            "telephone_number": "425-774-7794",
            "fax_number": "425-670-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZADI",
        "first_name": "NAGHMEH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Israel
• Kerry Itami, DACHM, LAC, EAMP
• Addison Marie Iverson
• Ivy Dental for Kids
• Aya Iwai, D.V.M.
• J. Lo Eyecare
• J.a. Denture Clinic LLC
• J.D. Moody, P.C.
• Honey Jack
• Marlie Jackson

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.