Alaleh Moazami, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60511881 Issued in WA

Practice address

7315 NE 141St St
Kirkland, WA 98034-9739

Phone

(425) 636-8700

Fax

(425) 896-8456

NPI assigned

Sep 8, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alaleh Moazami DMD PLLC

  • Dental Clinic/Center
  • Kirkland, WA
  • NPI 1740889849
  NPD Authorized official
• Yong J. Park DDS, Inc.

  • Dental Clinic/Center
  • Kirkland, WA
  • NPI 1689919458
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1386892859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 NE 141ST ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349739",
            "telephone_number": "425-636-8700",
            "fax_number": "425-896-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 NE 141ST ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349739",
            "telephone_number": "425-636-8700",
            "fax_number": "425-896-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAZAMI",
        "first_name": "ALALEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9186",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60511881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel A Mitzel, LMP
• Jerry Nelson Mixon, MD
• Dale Yoshi Miyauchi, MD
• Traci Mo, PHARM.D.
• Majed Moawad, DMD
• Mina Moazzeni, DDS
• Mock & Tran-Dilay Dentistry PLLC
• Erich Stephen Mock I, DDS
• Mod Skin and Body Clinic
• Modaresi PLLC

• General Practice Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.