NPIMap

Organization Active NPI

Heideh Eftehari, DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1194062489
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6748 Issued in WA
Legal business name
HEIDEH EFTEHARI, DDS
Practice address
1001 Broadway
Suite 209
Seattle, WA 98122-4397
Phone
(206) 323-3830
Fax
(206) 322-0152
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Heideh Eftehari, D.D.S.
Title
Owner
Phone
(206) 323-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6748 WA Primary

Addresses

Primary practice location

1001 Broadway
Suite 209
Seattle, WA 98122-4397

Mailing address

1001 Broadway
Suite 209
Seattle, WA 98122-4397
Phone (206) 323-3830

National Provider Directory

National Provider Directory

Locations

1001 Broadway
Ste 209
Seattle, WA 98122
Phone (206) 323-3830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1194062489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BROADWAY",
            "address_2": "SUITE 209",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224397",
            "telephone_number": "206-323-3830",
            "fax_number": "206-322-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BROADWAY",
            "address_2": "SUITE 209",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224397",
            "telephone_number": "206-323-3830",
            "fax_number": "206-322-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDEH EFTEHARI, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "EFTEHARI",
        "authorized_official_first_name": "HEIDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-323-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.