Active NPI
Isra T Elrayah, DDS
- Dentist
- Everett, WA
National Provider Identifier
1649408964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS038244
- Practice address
- 111 SE Everett Mall Way
Building # D
Everett, WA 98208-3208 - Phone
- (425) 267-3333
- NPI assigned
- Jun 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS038244 | PA | Primary |
Addresses
Primary practice location
111 SE Everett Mall Way
Building # D
Everett, WA 98208-3208
Mailing address
111 SE Everett Mall Way
Building # D
Everett, WA 98208-3208
Phone (425) 267-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS038244 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albright Family Dental | Past | Accepting new patients | |
| Dongho Kim DDS PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Everett, WA
- NPI 1336696962
-
- General Practice Dentistry
- Everett, WA
- NPI 1154216380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1649408964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SE EVERETT MALL WAY",
"address_2": "BUILDING # D",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083208",
"telephone_number": "425-267-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SE EVERETT MALL WAY",
"address_2": "BUILDING # D",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083208",
"telephone_number": "425-267-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELRAYAH",
"first_name": "ISRA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS038244",
"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 Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.