Rahul Prakash, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RAHUL PRAKASH, DDS, PLLC

Doing business as

Fresh Smile Seattle

Practice address

1801 12TH Ave Ste B
Seattle, WA 98122-2474

Phone

(425) 240-3067

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Rahul Ved Prakash, DDS

Title

Dentist

Phone

(425) 240-3067

Specialties & licenses 1

Addresses

Other names 1

• Fresh Smile Seattle Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rahul Ved Prakash, DDS

  • Dentist
  • Shorewood, IL
  • NPI 1730312455
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1447866959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 12TH AVE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222474",
            "telephone_number": "425-240-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 12TH AVE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222474",
            "telephone_number": "425-240-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL PRAKASH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_middle_name": "VED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-240-3067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Smile Seattle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saad Rahman, M.D.
• Farnoosh Rahmani
• Elham Rahmati, M.D.
• Taha Rahmatullah, MD
• Chloe Rahmun, ARNP
• Amarjit S. Rai, DO
• Amy Rai, MS, CCC-A
• Gagandeep Rai, DO
• Nazifa Arsalan Rai, DDS
• Joseph Raia, LCSW

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.