Mehran Varedi

Primary specialty

DentistTaxonomy code 122300000X

License

DE60473974 Issued in WA

Practice address

4217 64TH Ave E
Fife, WA 98424-2337

Phone

(205) 587-4669

NPI assigned

Sep 6, 2014

Last updated

Sep 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mehran Varedi DDS, PLLC

  • Dentist
  • Burien, WA
  • NPI 1023412871
  NPD (past) Authorized official

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1649671934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 64TH AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242337",
            "telephone_number": "205-587-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 64TH AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242337",
            "telephone_number": "205-587-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAREDI",
        "first_name": "MEHRAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60473974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hang Tran, LPN
• Trouves Health Care Crisis Stabilization Inc
• Peggy L. Trummell, SLP
• Samuel A Urkov, DNP, FNP-C
• Lane Whitaker Valentine, LMT
• Analisa Marie Vazquez
• Lachin Veisalov
• Rachael E Vosika
• Charis Satta Vululleh
• Mary Helen Waggoner, LMP

• Dentist in Fife, WA
• Providers in Fife, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.