Organization Active NPI

Syeda Bakhtawar DMD PLLC

Doing business as Artisan Dental Bellevue

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1144776022
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60238596 Issued in WA
Legal business name
SYEDA BAKHTAWAR DMD PLLC
Doing business as
Artisan Dental Bellevue
Practice address
188 106TH Ave NE
Suite #410
Bellevue, WA 98004-5965
Phone
(425) 454-2005
Fax
(425) 454-1360
NPI assigned
Aug 30, 2016
Last updated
Mar 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Dr. Syeda Bakhtawar, DMDNPI 1780968065
Title
Dentist Owner
Phone
(412) 860-0696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60238596 WA Primary

Addresses

Primary practice location

188 106TH Ave NE
Suite #410
Bellevue, WA 98004-5965

Mailing address

188 106TH Ave NE
Suite #410
Bellevue, WA 98004-5965
Phone (425) 454-2005

Other names 1

  • Artisan Dental Bellevue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170607001460 WA DME Supplier - Oral Surgery - Dentist 5890062616 Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1144776022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 106TH AVE NE",
            "address_2": "SUITE #410",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045965",
            "telephone_number": "425-454-2005",
            "fax_number": "425-454-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 106TH AVE NE",
            "address_2": "SUITE #410",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045965",
            "telephone_number": "425-454-2005",
            "fax_number": "425-454-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYEDA BAKHTAWAR DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "BAKHTAWAR",
        "authorized_official_first_name": "SYEDA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "412-860-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60238596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artisan Dental Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.