Individual provider Active NPI

Hedyeh Samady, DDS. DMD. MSD.

  • Oral Medicine Dentistry
  • Redmond, WA
National Provider Identifier
1215814686
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral Medicine DentistryTaxonomy code 125Q00000X
License
DENT.DE.70018867 Issued in WA
Practice address
8105 166TH Ave NE Ste 103
Redmond, WA 98052-3999
Phone
(425) 300-9056
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DENT.DE.70018867 WA
Oral Medicine Dentistry 125Q00000X DENT.DE.70018867 WA Primary

Addresses

Primary practice location

8105 166TH Ave NE Ste 103
Redmond, WA 98052-3999

Mailing address

8105 166TH Ave NE Ste 103
Redmond, WA 98052-3999
Phone (425) 300-9056

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251127000122 WA Practitioner - Oral Medicine 0941792824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Medicine
Education
University of Washington School of Dentistry, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Uw School of DentistryGroup PAC ID 3678948478, 19 clinicians
Olson Wong PLLCGroup PAC ID 0446799308, 3 clinicians

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-6365
Phone (206) 616-6996

2020 116TH Ave NE
Suite 150
Bellevue, WA 98004-3059
Phone (425) 300-9056

8105 166TH Ave NE
Suite 103
Redmond, WA 98052-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DENT.DE.70018867WAMDOral Medicinist

Practice roles

OrganizationSpecialtyStatusNew patients
Olson Wong, PLLC. Oral Medicine CurrentSince Oct 20, 2025 Accepting new patients
Uw School of Dentistry Dentist CurrentSince Dec 1, 2025 Accepting new patients
Awla Olson Wong, PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

8105 166th Ave NE
Ste 103
Redmond, WA 98052
Phone (425) 300-9056

1959 NE Pacific St
Rm B221
Seattle, WA 98195
Phone (206) 685-2937

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1215814686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE STE 103",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "425-300-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE STE 103",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "425-300-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADY",
        "first_name": "HEDYEH",
        "name_prefix": "Dr.",
        "credential": "DDS. DMD. MSD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.70018867",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "WA",
            "license": "DENT.DE.70018867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.