Individual provider Active NPI

Zalak Daftary, DDS

  • General Practice Dentistry
  • Kirkland, WA
National Provider Identifier
1366890139
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60638476 Issued in WA
Practice address
7317 NE 141St St
Kirkland, WA 98034-9739
Phone
(425) 636-8969
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60638476 WA Primary

Addresses

Primary practice location

7317 NE 141St St
Kirkland, WA 98034-9739

Mailing address

11801 NE 36TH PL
Bellevue, WA 98005-1247
Phone (704) 497-0542

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
DE60638476WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zalak S. Daftary, DDS, PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

7317 NE 141st St
Kirkland, WA 98034
Phone (425) 636-8969

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1366890139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 NE 36TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051247",
            "telephone_number": "704-497-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 NE 141ST ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349739",
            "telephone_number": "425-636-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFTARY",
        "first_name": "ZALAK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60638476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.