Pasha Mostofi, MD, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

61318058 Issued in WA

Practice address

601 S Carr Rd Ste 300
Renton, WA 98055-5840

Phone

(425) 277-1844

NPI assigned

Sep 22, 2014

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Benjamin Johnson DDS, PLLC.

  dba Pacific Northwest Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Burien, WA
  • NPI 1063253672
  NPD (past)
• Edwards, Johnson, Johnson & Johnson D.D.S., P.L.L.C.

  dba Pacific Northwest Oral & Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Renton, WA
  • NPI 1255803904
  NPD (past)
• Washingtonoralmaxillofacialsurgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Everett, WA
  • NPI 1184944001
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1356743397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555840",
            "telephone_number": "425-277-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555840",
            "telephone_number": "425-277-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOFI",
        "first_name": "PASHA",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "MD61308911",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "61318058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glynnis M Morton, MD
• Mei Lillian Morton, PT
• Trenton Matthew Morton, M.D.
• Ashanti Renee Mosby, LMP
• Emily Anne Moser, M.ED.
• Koob Meng Moua
• Bothaina Mousa
• Moving Forward Nutrition
• Mrmassage,Inc.
• Matthew Mulder, MD

• Oral and Maxillofacial Surgery (Dentist) in Renton, WA
• Providers in Renton, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.