Individual provider Active NPI

Najib Ghadri, DDS, MDS

  • Periodontics
  • Tacoma, WA
National Provider Identifier
1609250687
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
60647165 Issued in WA
Practice address
2424 Mildred St W Ste a
Tacoma, WA 98466-6044
Phone
(253) 357-0023
NPI assigned
Jul 19, 2015
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 60647165 WA Primary

Addresses

Primary practice location

2424 Mildred St W Ste a
Tacoma, WA 98466-6044

Mailing address

2424 Mildred St W Ste a
Tacoma, WA 98466-6044
Phone (253) 357-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250528000224 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244759835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10112TNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1437264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1609250687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MILDRED ST W STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984666044",
            "telephone_number": "253-357-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MILDRED ST W STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984666044",
            "telephone_number": "253-357-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADRI",
        "first_name": "NAJIB",
        "name_prefix": "Dr.",
        "credential": "DDS, MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-19",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "60647165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.