Individual provider Active NPI

Saman Saghafi, DDS

  • Dentist
  • Woodinville, WA
National Provider Identifier
1609813047
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00007456 Issued in WA
Practice address
14030 NE Woodinville Duvall Rd
Woodinville, WA 98072-8550
Phone
(425) 424-0744
Fax
(425) 424-3545
NPI assigned
Jun 2, 2006
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00007456 WA Primary

Addresses

Primary practice location

14030 NE Woodinville Duvall Rd
Woodinville, WA 98072-8550

Mailing address

14030 NE Woodinville Duvall Rd
Woodinville, WA 98072-8550
Phone (425) 424-0744

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
I20250716003368 WA Practitioner - Dentist 6406380443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00007456WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Sleep Care Northwest LLC CurrentSince Aug 21, 2024 Accepting new patients
Saman Saghafi DDS CurrentSince May 18, 2025 Accepting new patients

Locations

14030 NE Woodinville Duvall Rd
Woodinville, WA 98072
Phone (425) 424-0744

Organizations & group practices 2

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1609813047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 NE WOODINVILLE DUVALL RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728550",
            "telephone_number": "425-424-0744",
            "fax_number": "425-424-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 NE WOODINVILLE DUVALL RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728550",
            "telephone_number": "425-424-0744",
            "fax_number": "425-424-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHAFI",
        "first_name": "SAMAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00007456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.