Esam Alazzabi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL.60592319 Issued in WA

Practice address

2621 NE 134TH St Ste 300
Vancouver, WA 98686-3036

Phone

(360) 718-2355

NPI assigned

Dec 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Esam Alazzabi PLLC

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1497491625
  NPD

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1508370305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SE 168TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986832101",
            "telephone_number": "503-267-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 NE 134TH ST STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863036",
            "telephone_number": "360-718-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAZZABI",
        "first_name": "ESAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DL.60592319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Akinian
• Zaid F Al Zubaidi, PHARMACIST
• Sana Al-Tamimi, AUD
• Lindsey Alas Gonzalez
• Alaya Integrative Mental Healthcare, LLC
• Silvianna Albarran, LMP
• Matthew Vincent Albert, MA, LMHC
• Debra Ann Alberts
• Lisa M. Alberts, M.D.
• Michael Stuart Alberts, M.D.

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.