Issa Dkeidek, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60124297 Issued in WA

Practice address

12301 NE 10TH PL Ste 300
Bellevue, WA 98005-2487

Phone

(425) 455-2020

NPI assigned

Jun 11, 2007

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

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

• Dkeidek PLLC

  • Periodontics
  • Edmonds, WA
  • NPI 1528996725
  NPD Authorized official
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

  • Periodontics
  • Redmond, WA
  • NPI 1487592184
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1114121563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 112TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335145",
            "telephone_number": "425-455-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-455-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7530 164th Ave NE Ste A120",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980527837",
            "country_code": "US",
            "telephone_number": "425-289-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DKEIDEK",
        "first_name": "ISSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60124297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Andrew Dixon, DPT
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC (Complete Dentistry)
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC (Evident Alliance)
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC (Spring District Family Dentistry)
• DME Northwest LLC (DME Northwest)
• Michalle Dmitrovsky
• Hork Chay DO, DPT
• Huynh DO
• Monica DO

• Dentist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.