NPIMap

Organization Active NPI

Massoud Khami, D.D.S., Jontiana Badei, D.D.S., P.S.

  • Dentist
  • Lynnwood, WA
National Provider Identifier
1346543592
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MASSOUD KHAMI, D.D.S., JONTIANA BADEI, D.D.S., P.S.
Practice address
4410 194TH St SW
Suite C
Lynnwood, WA 98036-5598
Phone
(425) 775-6614
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Dr. Jontiana Badei, D.D.S.
Title
President
Phone
(425) 775-6614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4410 194TH St SW
Suite C
Lynnwood, WA 98036-5598

Mailing address

4410 194TH St SW
Suite C
Lynnwood, WA 98036-5598
Phone (425) 775-6614

National Provider Directory

National Provider Directory

Locations

4410 194th St SW
Ste C
Lynnwood, WA 98036
Phone (425) 775-6614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1346543592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 194TH ST SW",
            "address_2": "SUITE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365598",
            "telephone_number": "425-775-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 194TH ST SW",
            "address_2": "SUITE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365598",
            "telephone_number": "425-775-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSOUD KHAMI, D.D.S., JONTIANA BADEI, D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "BADEI",
        "authorized_official_first_name": "JONTIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-775-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.