Individual provider Active NPI

Moura Ghattas

  • Dentist
  • Everett, WA
National Provider Identifier
1689365777
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
70127681 Issued in WA
Practice address
9329 27TH Ave SE
Everett, WA 98208-3608
Phone
(425) 368-8904
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 70127681 WA Primary

Addresses

Primary practice location

9329 27TH Ave SE
Everett, WA 98208-3608

Mailing address

9329 27TH Ave SE
Everett, WA 98208-3608
Phone (425) 368-8904

Other practice location 1

615 E 3rd St
Pomona, CA 91766-1906
Phone (425) 368-8904

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

LicenseStateTypeSpecialty
70127681WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1689365777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9329 27TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083608",
            "telephone_number": "425-368-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9329 27TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083608",
            "telephone_number": "425-368-8904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917661906",
            "country_code": "US",
            "telephone_number": "425-368-8904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHATTAS",
        "first_name": "MOURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "70127681",
            "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 2, 2026; 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.