Individual provider Active NPI

Suhaib Borgeia, DDS MS MSD

  • General Practice Dentistry
  • Olympia, WA
National Provider Identifier
1558010793
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61085729 Issued in WA
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

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DE61085729WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 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.

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

Verify at the official NPI Registry.