Active NPI
Xpertsmile, Inc
Doing business as XpertSmile
- Dentist
- Bellevue, WA
National Provider Identifier
1538708409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- XPERTSMILE, INC
- Doing business as
- XpertSmile
- Practice address
- 4301 Factoria Blvd SE
Bellevue, WA 98006-1982 - Phone
- (425) 444-6021
- NPI assigned
- Dec 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arkadi V Razoumovitch, DDS
- Title
- President
- Phone
- (425) 502-9415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
4301 Factoria Blvd SE
Bellevue, WA 98006-1982
Mailing address
4301 Factoria Blvd SE
Bellevue, WA 98006-1982
Other names 1
- XpertSmile
National Provider Directory
National Provider DirectoryLocations
4301 Factoria Blvd SE
Bellevue, WA 98006
Phone (425) 444-6021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598918400000",
"number": "1538708409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 FACTORIA BLVD SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 FACTORIA BLVD SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061982",
"telephone_number": "425-444-6021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XPERTSMILE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-24",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A",
"authorized_official_last_name": "RAZOUMOVITCH",
"authorized_official_first_name": "ARKADI",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-502-9415",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "XpertSmile",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "XpertSmile",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.