Individual provider Active NPI

Ellie Rahmani, DDS

  • Dentist
  • Arlington, WA
National Provider Identifier
1497305627
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60994106 Issued in WA
Practice address
3533 172ND St NE # B
Arlington, WA 98223-8758
Phone
(360) 658-3000
NPI assigned
Sep 19, 2019
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401416706 VA
Dentist 122300000X 60994106 WA Primary

Addresses

Primary practice location

3533 172ND St NE # B
Arlington, WA 98223-8758

Mailing address

3619 173Rd CT NE
Redmond, WA 98052-5703
Phone (832) 350-3432

Other names 1

  • Elahehsadat Tabatabainejad Former name

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
0401416706VAMDDentist
60994106WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smokey Point Family Dentistry, PLLC Dentist CurrentSince May 12, 2024 Accepting new patients
Tysons Corner Advanced Dental Center PC PastSince Sep 1, 2019 Accepting new patients
Ojh Clinic #4 Inc Dentist PastSince Feb 19, 2023 Accepting new patients

Locations

3533 172nd St NE
#B
Arlington, WA 98223
Phone (360) 658-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1497305627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 173RD CT NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525703",
            "telephone_number": "832-350-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 172ND ST NE # B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238758",
            "telephone_number": "360-658-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMANI",
        "first_name": "ELLIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416706",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60994106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAHEHSADAT",
            "last_name": "TABATABAINEJAD",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.