Individual provider Active NPI

Mayank Saxena, D.D.S.

  • Dentist
  • Bellevue, WA
National Provider Identifier
1598188302
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60735928 Issued in WA
Practice address
9 Lake Bellevue Dr
St 203
Bellevue, WA 98005-2454
Phone
(425) 641-4111
Fax
(425) 641-2009
NPI assigned
Jan 29, 2014
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60735928 WA Primary
General Practice Dentistry 1223G0001X 60735928 WA

Addresses

Primary practice location

9 Lake Bellevue Dr
St 203
Bellevue, WA 98005-2454

Mailing address

9 Lake Bellevue Dr
St 203
Bellevue, WA 98005-2454
Phone (425) 641-4111

Other names 1

  • Dr. Max Saxena Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008002855 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981912011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60735928WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Max Saxena DDS PLLC General Practice Current Accepting new patients
Mayank Saxena DDS PLLC General Practice CurrentSince Sep 4, 2022 Accepting new patients
Ellen Vyas DDS PLLC General Practice Current Accepting new patients

Locations

9 Lake Bellevue Dr
Ste 203
Bellevue, WA 98005
Phone (425) 641-4111

3216 NE 45th Pl
Ste 211
Seattle, WA 98105
Phone (206) 527-7001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1598188302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR",
            "address_2": "ST 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-641-4111",
            "fax_number": "425-641-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR",
            "address_2": "ST 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-641-4111",
            "fax_number": "425-641-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "MAYANK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60735928",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60735928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAX",
            "last_name": "SAXENA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.