Active NPI
Kimiya Behzadian, DMD
- General Practice Dentistry
- Maple Valley, WA
National Provider Identifier
1245162155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DENT.DE.70129820
- Practice address
- 26555 Maple Valley Black Diamond Rd SE Ste L100
Maple Valley, WA 98038-8478 - Phone
- (425) 906-9119
- Fax
- (425) 906-9120
- NPI assigned
- Jun 3, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Maple Valley, WA
- NPI 1609259019
General Practice
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
| License | State | Type | Specialty |
|---|---|---|---|
| DENT.DE.70129820 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Dental Corporation, PC | General Practice | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DENT.DE.70129820 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
26555 Maple Valley Black Diamond Rd SE Ste L100
Maple Valley, WA 98038-8478
Mailing address
1537 139TH CT NE
Bellevue, WA 98005-4257
Phone (206) 492-3507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2026.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1245162155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 139TH CT NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054257",
"telephone_number": "206-492-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26555 MAPLE VALLEY BLACK DIAMOND RD SE STE L100",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388478",
"telephone_number": "425-906-9119",
"fax_number": "425-906-9120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHZADIAN",
"first_name": "KIMIYA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DENT.DE.70129820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.