Bita Fathipour, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DENT.DE.61551493 Issued in WA

Practice address

31405 18TH Ave S
Federal Way, WA 98003-5433

Phone

(253) 681-6620

Fax

(253) 681-6648

NPI assigned

Feb 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1548026180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31405 18TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035433",
            "telephone_number": "253-681-6620",
            "fax_number": "253-681-6648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 14th Ave S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981084813",
            "country_code": "US",
            "telephone_number": "206-762-3263",
            "fax_number": "206-763-6574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4111 Alderwood Mall Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980366765",
            "country_code": "US",
            "telephone_number": "425-977-2580",
            "fax_number": "425-977-2565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "510-847-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9650 15th Ave SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981062576",
            "country_code": "US",
            "telephone_number": "206-965-1005",
            "fax_number": "206-965-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATHIPOUR",
        "first_name": "BITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DENT.DE.61551493",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2288271",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selamawit Fantaye, PT
• Faisa Abukar Farole, LICENSE MIDWIFE
• Lorien Farren
• Chad Douglas Fashant, L.M.P.
• Andrea M Fasullo, MD
• Elizabeth Fay, LM, CPM
• Federal Way Accident and Injury Clinic PS
• Federal Way Acupuncture Center, PLLC
• Federal Way Audiology, LLC
• Federal Way Birth Center

• Pediatric Dentistry in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.