Active NPI
Suhaib Borgeia, DDS MS MSD
- General Practice Dentistry
- Olympia, WA
National Provider Identifier
1558010793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61085729
- Practice address
- 3622 Ensign Rd NE
Olympia, WA 98506-5081 - Phone
- (360) 570-8016
- Fax
- (360) 570-8275
- NPI assigned
- Mar 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61085729 | WA | |
| General Practice Dentistry | 1223G0001X | DE61085729 | WA | Primary |
Addresses
Primary practice location
3622 Ensign Rd NE
Olympia, WA 98506-5081
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
2418 NW 58th St Unit 3H
Seattle, WA 98107-0001
Phone (206) 574-8304
Other practice location 2
1920 100th St SE Ste C2
Everett, WA 98208-3832
Phone (425) 249-0770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61085729 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1477911410
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1558010793",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 ENSIGN RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065081",
"telephone_number": "360-570-8016",
"fax_number": "360-570-8275"
}
],
"practiceLocations": [
{
"address_1": "2418 NW 58th St Unit 3H",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981070001",
"country_code": "US",
"telephone_number": "206-574-8304",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 100th St SE Ste C2",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982083832",
"country_code": "US",
"telephone_number": "425-249-0770",
"fax_number": "425-249-0771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORGEIA",
"first_name": "SUHAIB",
"credential": "DDS MS MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-23",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61085729",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61085729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.