NPIMap

Organization Active NPI

M Etemadi DMD PLLC

  • Dentist
  • Everett, WA
National Provider Identifier
1568332682
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
M ETEMADI DMD PLLC
Practice address
2121 Madison St Ste a
Everett, WA 98203-5375
Phone
(425) 353-5854
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Massih Etemadi, DMDNPI 1700579216
Title
Dentist
Phone
(425) 548-4499

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2121 Madison St Ste a
Everett, WA 98203-5375

Mailing address

18713 136TH Ave NE
Woodinville, WA 98072-5732

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1568332682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18713 136TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980725732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MADISON ST STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035375",
            "telephone_number": "425-353-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ETEMADI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "ETEMADI",
        "authorized_official_first_name": "MASSIH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-548-4499",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.