Active NPI
Amirhossein Nekooei
- General Practice Dentistry
- Marysville, WA
National Provider Identifier
1164280236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DENT.DE.70145686
- Practice address
- 17103 28TH Dr NE
Ste 104
Marysville, WA 98271 - Phone
- (360) 208-0492
- NPI assigned
- Mar 12, 2024
- Reactivated
- Aug 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DENT.DE.70145686 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
17103 28TH Dr NE
Ste 104
Marysville, WA 98271
Mailing address
17103 28TH Dr NE
Ste 104
Marysville, WA 98271
Phone (360) 208-0492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Dental Corporation, PC | Past | Accepting new patients | |
| Dr. Seongwon Choi PLLC. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Endodontics
- Marysville, WA
- NPI 1407774490
-
- Dentist
- Marysville, WA
- NPI 1790141828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1164280236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17103 28TH DR NE",
"address_2": "STE 104",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "98271",
"telephone_number": "360-208-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17103 28TH DR NE",
"address_2": "STE 104",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "98271",
"telephone_number": "360-208-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKOOEI",
"first_name": "AMIRHOSSEIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-12",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"deactivation_date": "2024-10-15",
"reactivation_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DENT.DE.70145686",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.