Active NPI
Saifullah Zakaria, DDS
- Dentist
- Shoreline, WA
National Provider Identifier
1336330927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5507
- Practice address
- 20036 19TH Ave NE
Shoreline, WA 98155-1211 - Phone
- (206) 364-7680
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5507 | WA | Primary |
Addresses
Primary practice location
20036 19TH Ave NE
Shoreline, WA 98155-1211
Mailing address
20427 Poplar Way
Unit B
Lynnwood, WA 98036-7840
Phone (206) 364-7680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5776604 | Medicaid | WA |
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 |
|---|---|---|---|
| 5507 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1336330927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20427 POPLAR WAY",
"address_2": "UNIT B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367840",
"telephone_number": "206-364-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20036 19TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551211",
"telephone_number": "206-364-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKARIA",
"first_name": "SAIFULLAH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "5507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5776604",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.