Individual provider Active NPI

Soumya Pandey

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1285915074
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60574393 Issued in WA
Practice address
5611 119TH Ave SE Ste 2
Bellevue, WA 98006-3799
Phone
(425) 746-6554
Fax
(425) 746-0145
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60574393 WA Primary

Addresses

Primary practice location

5611 119TH Ave SE Ste 2
Bellevue, WA 98006-3799

Mailing address

5611 119TH Ave SE Ste 2
Bellevue, WA 98006-3799
Phone (425) 746-6554

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
I20170124000221 WA Order and Referring Only - DentistPractitioner - Dentist 3577845742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Hills Dental General Practice Current Accepting new patients

Locations

5611 119th Ave SE
Ste 2
Bellevue, WA 98006
Phone (425) 746-1181

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.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1285915074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 119TH AVE SE STE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063799",
            "telephone_number": "425-746-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 119TH AVE SE STE 2",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063799",
            "telephone_number": "425-746-6554",
            "fax_number": "425-746-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "SOUMYA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60574393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.