Individual provider Active NPI

Wei Tian, BMED, MSD, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redmond, WA
National Provider Identifier
1255759007
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60328531 Issued in WA
Practice address
22330 NE Marketplace Dr Ste 117
Redmond, WA 98053-2071
Phone
(425) 202-2022
NPI assigned
Mar 30, 2014
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE60328531 WA Primary

Addresses

Primary practice location

22330 NE Marketplace Dr Ste 117
Redmond, WA 98053-2071

Mailing address

22330 NE Marketplace Dr Ste 117
Redmond, WA 98053-2071
Phone (206) 251-6913

Other practice location 1

8915 14th Ave S
Seattle, WA 98108-4813
Phone (206) 762-3263

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
I20161118002211 WA Order and Referring Only - DentistPractitioner - Dentist 5193004919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Wei Tian DDS PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Dec 13, 2022 Accepting new patients

Locations

22330 NE Marketplace Dr
Ste 117
Redmond, WA 98053
Phone (425) 202-2022

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1255759007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22330 NE MARKETPLACE DR STE 117",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532071",
            "telephone_number": "206-251-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22330 NE MARKETPLACE DR STE 117",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532071",
            "telephone_number": "425-202-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981084813",
            "country_code": "US",
            "telephone_number": "206-762-3263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIAN",
        "first_name": "WEI",
        "credential": "BMED, MSD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60328531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.