Individual provider Active NPI

Sanira Prasai, DDS

  • Dentist
  • Lynnwood, WA
National Provider Identifier
1205517240
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61447142 Issued in WA
Practice address
19620 Highway 99 Ste 106
Lynnwood, WA 98036-5565
Phone
(425) 670-1144
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61447142 WA Primary

Addresses

Primary practice location

19620 Highway 99 Ste 106
Lynnwood, WA 98036-5565

Mailing address

9720 Roosevelt Way NE Apt 204
Seattle, WA 98115-2203
Phone (206) 482-6144

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

LicenseStateTypeSpecialty
DE61447142WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1205517240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 ROOSEVELT WAY NE APT 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152203",
            "telephone_number": "206-482-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19620 HIGHWAY 99 STE 106",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365565",
            "telephone_number": "425-670-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAI",
        "first_name": "SANIRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61447142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.