Elham Tabaraie, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9048 Issued in WA

Practice address

1855 156TH Ave NE
Suite 212
Bellevue, WA 98007-4386

Phone

(425) 747-2908

Fax

(425) 747-0782

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ellie Tabaraie Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• E Tabaraie DDS PLLC

  dba Dr. Ellie Tabaraie

  • Dental Clinic/Center
  • Bellevue, WA
  • NPI 1053269340
  NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508952268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 156TH AVE NE",
            "address_2": "SUITE 212",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074386",
            "telephone_number": "425-747-2908",
            "fax_number": "425-747-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 156TH AVE NE",
            "address_2": "SUITE 212",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074386",
            "telephone_number": "425-747-2908",
            "fax_number": "425-747-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARAIE",
        "first_name": "ELHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "TABARAIE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wendy Szabo, L.M.P.
• Julia Irene Szilard, DPT
• Diana Szilvasi, DNP, ARNP, FNP-C
• T & T Nguyen II DDS PS
• Kent Thien Ta, MD
• Amber Tabares, PH.D.
• Shiferaw Tadesse
• Lauri M Tadlock, MD
• Melissa Taft
• Tai Shinohara Counseling, PLLC (Tai Shinohara Counseling)

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, 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 Jul 8, 2007; 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.