Active NPI
Nazish Haq
- Dentist
- Puyallup, WA
National Provider Identifier
1174914162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60534452
- Practice address
- 11012 Canyon Rd E Ste 40
Puyallup, WA 98373-4200 - Phone
- (206) 954-8996
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE 60534452 | WA | Primary |
Addresses
Primary practice location
11012 Canyon Rd E Ste 40
Puyallup, WA 98373-4200
Mailing address
205 S 51St St
Unit E
Renton, WA 98055-7942
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60534452 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1174914162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S 51ST ST",
"address_2": "UNIT E",
"city": "RENTON",
"state": "WA",
"postal_code": "980557942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11012 CANYON RD E STE 40",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983734200",
"telephone_number": "206-954-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQ",
"first_name": "NAZISH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60534452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.