NPIMap

Organization Active NPI

Progressive Dentistry, Inc.

  • Point of Service
  • Bellevue, WA
National Provider Identifier
1639331135
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
602708926 Issued in WA
Legal business name
PROGRESSIVE DENTISTRY, INC.
Practice address
12816 SE 38TH St Ste I
Bellevue, WA 98006-1327
Phone
(425) 747-7650
Fax
(425) 653-1502
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Behrooz Zamani
Title
C.F.O.
Phone
(425) 747-7650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 602708926 WA Primary

Addresses

Primary practice location

12816 SE 38TH St Ste I
Bellevue, WA 98006-1327

Mailing address

12816 SE 38TH St Ste I
Bellevue, WA 98006-1327
Phone (425) 747-7650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1639331135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816 SE 38TH ST STE I",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061327",
            "telephone_number": "425-747-7650",
            "fax_number": "425-653-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 SE 38TH ST STE I",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061327",
            "telephone_number": "425-747-7650",
            "fax_number": "425-653-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ZAMANI",
        "authorized_official_first_name": "BEHROOZ",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "425-747-7650"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "602708926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.