Active NPI
Heideh Eftekhari, DDS
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1457397754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6748
- Practice address
- 901 Boren Ave
Suite 1500
Seattle, WA 98104-3595 - Phone
- (206) 323-3830
- Fax
- (206) 322-0152
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- 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 | 6748 | WA | Primary |
Addresses
Primary practice location
901 Boren Ave
Suite 1500
Seattle, WA 98104-3595
Mailing address
3230 78TH Place NE
Medina, WA 98039
Phone (425) 453-9615
Other names 1
- Heideh Eftehari
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 |
|---|---|---|---|
| 6748 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sukhdev Singh, DMD, PS | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1245912641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1457397754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 78TH PLACE NE",
"city": "MEDINA",
"state": "WA",
"postal_code": "98039",
"telephone_number": "425-453-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOREN AVE",
"address_2": "SUITE 1500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043595",
"telephone_number": "206-323-3830",
"fax_number": "206-322-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFTEKHARI",
"first_name": "HEIDEH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "6748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDEH",
"last_name": "EFTEHARI",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.