Organization Active NPI

Wedgwood Family Dentistry

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1538845276
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WEDGWOOD FAMILY DENTISTRY
Doing business as
Wedgwood Family Dentistry
Practice address
7030 35TH Ave NE Ste B
Seattle, WA 98115-5917
Phone
(205) 526-5600
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Dr. Mohammedreza Atashzareh, DDSNPI 1710360797
Title
Owner
Phone
(205) 526-5600

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

7030 35TH Ave NE Ste B
Seattle, WA 98115-5917

Mailing address

7030 35TH Ave NE Ste B
Seattle, WA 98115-5917
Phone (205) 526-5600

Other practice location 1

6850 35th Ave NE Ste 2
Seattle, WA 98115-7344
Phone (206) 524-2300

Other names 1

  • Wedgwood Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6850 35th Ave NE
Ste 2
Seattle, WA 98115
Phone (206) 524-2300

7030 35th Ave NE
Ste B
Seattle, WA 98115
Phone (205) 526-5600

Practitioners & affiliated clinicians

Practitioners 2

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": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1538845276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 35TH AVE NE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155917",
            "telephone_number": "205-526-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 35TH AVE NE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155917",
            "telephone_number": "205-526-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 35th Ave NE Ste 2",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981157344",
            "country_code": "US",
            "telephone_number": "206-524-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEDGWOOD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "ATASHZAREH",
        "authorized_official_first_name": "MOHAMMEDREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-526-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedgwood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.