Active NPI
Siamak Najafi-Abrandabadi, D.D.S
- Dentist
- Bellevue, WA
National Provider Identifier
1356890081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61247820
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE61247820 | WA | MD | Dentist |
| 106077 | CA | MD | General Practice Dentistry |
| 36213 | TX | MD | General Practice Dentistry |
| 0401416345 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellevue Dentist | Dentist | Current | Accepting new patients |
| Debra M. Enneking, D.D.S.,P.L.L.C. | General Practice | Past | Accepting new patients |
| Gregory B Mortensen DDS | Past | 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.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1295941235
-
- Point of Service
- Bellevue, WA
- NPI 1316491244
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.