Active NPI
Farzad Khalili, L.D
- Denturist
- Bellevue, WA
National Provider Identifier
1487967568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN 60121423
- Practice address
- 12816 SE 38TH St
Suite I
Bellevue, WA 98006-1327 - Phone
- (425) 558-3967
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Denturist | 122400000X | DN 60121423 | WA | Primary |
Addresses
Primary practice location
12816 SE 38TH St
Suite I
Bellevue, WA 98006-1327
Mailing address
12816 SE 38TH St
Suite I
Bellevue, WA 98006-1327
Phone (425) 558-3967
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 |
|---|---|---|---|
| DN 60121423 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1487967568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12816 SE 38TH ST",
"address_2": "SUITE I",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061327",
"telephone_number": "425-558-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12816 SE 38TH ST",
"address_2": "SUITE I",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061327",
"telephone_number": "425-558-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALILI",
"first_name": "FARZAD",
"credential": "L.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN 60121423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.