Lakeside Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

LAKESIDE ENDODONTICS

Practice address

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

Phone

(425) 357-8747

Fax

(425) 337-6190

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shahin Etemadi, D.D.S., M.S.D.NPI 1093790826

Title

President

Phone

(425) 357-8747

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahin Etemadi, D.D.S., M.S.D.

  • Endodontics
  • Everett, WA
  • NPI 1093790826
  NPD Authorized official
• Joao Vicente Baroni Barbizam, DDS, MSD

  • Dentist
  • Everett, WA
  • NPI 1063849883
  NPD (past)
• Jennifer Zhang Chai, DMD

  • Dentist
  • Everett, WA
  • NPI 1174184493
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1104056910",
    "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 STE 202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084275",
            "telephone_number": "425-357-8747",
            "fax_number": "425-337-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "ETEMADI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-357-8747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Khanh Vu Lai, RPH
• Chelsea M Laidlaw
• Audrienne E Lair, CDR
• Tammy J Laird, CDPT
• Hannah Renee Lairmore
• Swastika Latasha Lal, LSWAIC
• April Ngoc-Han Lam, PHARM.D.
• Katy N Lam, DMD
• Loan Chau Lam, PHARMD
• Leigh Lambert, PHARMD

• 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 Apr 14, 2026; 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.