Active NPI
Nelufar Badr, DDS
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1457037574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61445873
- Practice address
- 6200 13TH Ave S FL 1
Seattle, WA 98108-2706 - Phone
- (206) 461-6943
- NPI assigned
- Jun 23, 2023
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61445873 | WA | Primary |
Addresses
Primary practice location
6200 13TH Ave S FL 1
Seattle, WA 98108-2706
Mailing address
6200 13TH Ave S
Seattle, WA 98108-2706
Phone (206) 461-6943
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 |
|---|---|---|---|
| 61445873 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborcare Health | Current | Accepting new patients |
Locations
6200 13th Ave S
Fl 1
Seattle, WA 98108
Phone (206) 461-6943
6200 13th Ave S
Seattle, WA 98108
Phone (206) 461-6943
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1306916556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1457037574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 13TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082706",
"telephone_number": "206-461-6943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 13TH AVE S FL 1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082706",
"telephone_number": "206-461-6943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADR",
"first_name": "NELUFAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2023-06-23",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "61445873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.