Organization Active NPI

Ali Nassiri DMD and Xiaoying Deng DDS

Doing business as Alpine Pediatric Dentistry

  • Pediatric Dentistry
  • Kirkland, WA
National Provider Identifier
1497501274
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ALI NASSIRI DMD AND XIAOYING DENG DDS
Doing business as
Alpine Pediatric Dentistry
Practice address
10122 NE 63Rd St
Kirkland, WA 98033-6820
Phone
(425) 466-0595
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Alireza Sadre-NassiriNPI 1740544303
Title
Owner
Phone
(425) 466-0595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

10122 NE 63Rd St
Kirkland, WA 98033-6820

Mailing address

10122 NE 63Rd St
Kirkland, WA 98033-6820
Phone (425) 466-0595

Other names 1

  • Alpine Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1497501274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 NE 63RD ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336820",
            "telephone_number": "425-466-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 NE 63RD ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336820",
            "telephone_number": "425-466-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI NASSIRI DMD AND XIAOYING DENG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SADRE-NASSIRI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-466-0595"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.