Organization Active NPI

Dr. Esam Alazzabi PLLC

Doing business as Peace Dental

  • Dental Clinic/Center
  • Vancouver, WA
National Provider Identifier
1497491625
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. ESAM ALAZZABI PLLC
Doing business as
Peace Dental
Practice address
11310 NE 49TH St
Vancouver, WA 98682-6545
Phone
(360) 541-9000
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Sumia Alazabi
Title
Administator
Phone
(424) 249-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11310 NE 49TH St
Vancouver, WA 98682-6545

Mailing address

11310 NE 49TH St
Vancouver, WA 98682-6545

Other names 1

  • Peace Dental Doing business as

National Provider Directory

National Provider Directory

Locations

11310 NE 49th St
Vancouver, WA 98682
Phone (360) 541-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1497491625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 NE 49TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 NE 49TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986826545",
            "telephone_number": "360-541-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ESAM ALAZZABI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "ALAZABI",
        "authorized_official_first_name": "SUMIA",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "424-249-0707"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.