Amin Tabatabaian

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010324 Issued in WA

Practice address

5701 NE Bothell Way Ste 3
Kenmore, WA 98028-9400

Phone

(425) 486-9233

Fax

(425) 487-4394

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michael Huynh DDS and Amin Tabatabaian, DDS PLLC

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1396976635
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1184786444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY STE 3",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-486-9233",
            "fax_number": "425-487-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY STE 3",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-486-9233",
            "fax_number": "425-487-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATABAIAN",
        "first_name": "AMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G Colwell
• Pu Yu Su
• Xueling Sun
• Mayumi Suzuki
• Melissa Swanson
• Eliazabeth A Tafesse
• Jonathan Tarleton, DDS, MSD
• Glenn F Tate, LMP
• Diane M. Tatum, M.A., L.M.H.C.
• Christopher J Telge, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.