Active NPI
Shahram Ghafghazi DDS,PS
- Pediatric Dentistry
- Burien, WA
National Provider Identifier
1285884718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00010518
- Legal business name
- SHAHRAM GHAFGHAZI DDS,PS
- Practice address
- 14257 Ambaum Blvd SW # 201
Burien, WA 98166-1421 - Phone
- (617) 605-5655
- NPI assigned
- Sep 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahram Ghafghazi
- Title
- President
- Phone
- (617) 605-5655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00010518 | WA | Primary |
Addresses
Primary practice location
14257 Ambaum Blvd SW # 201
Burien, WA 98166-1421
Mailing address
14257 Ambaum Blvd SW # 201
Burien, WA 98166-1421
National Provider Directory
National Provider DirectoryLocations
14257 Ambaum Blvd SW
#201
Burien, WA 98166
Phone (617) 605-5655
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Burien, WA
- NPI 1699830950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221868800000",
"number": "1285884718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14257 AMBAUM BLVD SW # 201",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14257 AMBAUM BLVD SW # 201",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661421",
"telephone_number": "617-605-5655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHRAM GHAFGHAZI DDS,PS",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-20",
"last_updated": "2008-09-20",
"status": "A",
"authorized_official_last_name": "GHAFGHAZI",
"authorized_official_first_name": "SHAHRAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-605-5655"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00010518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.