Individual provider Active NPI

Kimiya Behzadian, DMD

  • General Practice Dentistry
  • Maple Valley, WA
National Provider Identifier
1245162155
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DENT.DE.70129820 Issued in WA
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.

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
DENT.DE.70129820WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Dental Corporation, PC General Practice Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DENT.DE.70129820 WA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.