Individual provider Active NPI

Siamak Najafi-Abrandabadi, D.D.S

  • Dentist
  • Bellevue, WA
National Provider Identifier
1356890081
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61247820 Issued in WA
Practice address
14645 NE Bel Red Rd Ste 100
Bellevue, WA 98007-3929
Phone
(425) 644-2205
Fax
(425) 644-1564
NPI assigned
Sep 22, 2016
Last updated
Feb 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61247820 WA Primary
General Practice Dentistry 1223G0001X 0401416345 VA
General Practice Dentistry 1223G0001X 36213 TX
General Practice Dentistry 1223G0001X 106077 CA

Addresses

Primary practice location

14645 NE Bel Red Rd Ste 100
Bellevue, WA 98007-3929

Mailing address

14645 NE Bel Red Rd Ste 100
Bellevue, WA 98007-3929
Phone (425) 644-2205

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

LicenseStateTypeSpecialty
DE61247820WAMDDentist
106077CAMDGeneral Practice Dentistry
36213TXMDGeneral Practice Dentistry
0401416345VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Dentist Dentist CurrentSince Jul 2, 2023 Accepting new patients
Debra M. Enneking, D.D.S.,P.L.L.C. General Practice PastSince Jan 1, 2023 Accepting new patients
Gregory B Mortensen DDS PastSince Jul 2, 2023 Accepting new patients

Locations

14645 NE Bel Red Rd
Ste 100
Bellevue, WA 98007
Phone (425) 644-2205

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1356890081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14645 NE BEL RED RD STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073929",
            "telephone_number": "425-644-2205",
            "fax_number": "425-644-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 NE BEL RED RD STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073929",
            "telephone_number": "425-644-2205",
            "fax_number": "425-644-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJAFI-ABRANDABADI",
        "first_name": "SIAMAK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61247820",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416345",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36213",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; 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.