Mohammed Alroshaidan

Primary specialty

DentistTaxonomy code 122300000X

License

DENT.DE.60642397 Issued in WA

Practice address

6614 E Mill Plain Blvd
Vancouver, WA 98661-7458

Phone

(360) 696-0471

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eunsun Lew, a Dental Corporation

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1538392667
  NPD (past)
• Serenity Dental

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1013311729
  NPD (past)

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1215485172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 NE 14TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617458",
            "telephone_number": "360-696-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALROSHAIDAN",
        "first_name": "MOHAMMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.60642397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Kay Almy, MN- FNP
• Aloha Dental Office, PC
• Natalia Alonso
• Alpha Psychiatric Services, Inc
• Alpine Physical Therapy PLLC
• Joseph Brooks Alsberge, M.D.
• Dena M Alt, MED, CCC
• Chloe Raylene Altenburg
• Shaila Mae Alter, LMT
• Alternative Sleep Health Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.