Nima Dejbod, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60233845 Issued in WA

Practice address

600 NW Gilman Blvd Ste a
Issaquah, WA 98027-2445

Phone

(425) 786-1411

NPI assigned

Aug 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134434475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW GILMAN BLVD STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272445",
            "telephone_number": "425-786-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW GILMAN BLVD STE A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272445",
            "telephone_number": "425-786-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJBOD",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS038054",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60233845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Debutts, MS OTR/L
• April A. Decker
• Brandi Sue Defazio, MHA, MA, LMFT
• Stacy Danae Deffner, M.A., CCC-SLP
• Christian F Deisler
• Reinier Dejong Vancoevorden, M.D.
• Simone Dekker, MD, PHD
• Amber Nicole Demeola
• Margene Dengler
• Heather A Denniston, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.