Individual provider Active NPI

Neha Sarraf, DDS

  • Dentist
  • Bellevue, WA
National Provider Identifier
1477234060
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61448426 Issued in WA
Practice address
626 120TH Ave NE Ste B210
Bellevue, WA 98005-3038
Phone
(085) 543-3682
NPI assigned
Jul 27, 2023
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61448426 WA Primary

Addresses

Primary practice location

626 120TH Ave NE Ste B210
Bellevue, WA 98005-3038

Mailing address

14715 NE 31St St Apt D
Bellevue, WA 98007-3653
Phone (425) 628-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927004290 WA Order and Referring Only - DentistPractitioner - Dentist 0042664856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1477234060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14715 NE 31ST ST APT D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073653",
            "telephone_number": "425-628-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 120TH AVE NE STE B210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053038",
            "telephone_number": "085-543-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAF",
        "first_name": "NEHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61448426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.