Individual provider Active NPI

Ardalan Zahedi, DDS

  • General Practice Dentistry
  • Renton, WA
National Provider Identifier
1487975868
Registry record updated Jun 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60607288 Issued in WA
Practice address
17600 Talbot Rd S
Renton, WA 98055-5788
Phone
(425) 226-5940
Fax
(425) 226-5941
NPI assigned
Jun 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60607288 WA Primary

Addresses

Primary practice location

17600 Talbot Rd S
Renton, WA 98055-5788

Mailing address

17600 Talbot Rd S
Renton, WA 98055-5788
Phone (425) 226-5940

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

LicenseStateTypeSpecialty
DE60607288WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steiner Ranch DDS PLLC General Practice Current Accepting new patients
Allcare Dental Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276905600000",
    "number": "1487975868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555788",
            "telephone_number": "425-226-5940",
            "fax_number": "425-226-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555788",
            "telephone_number": "425-226-5940",
            "fax_number": "425-226-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHEDI",
        "first_name": "ARDALAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60607288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

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

Verify at the official NPI Registry.