Individual provider Active NPI

Aileen Ghobadi, DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1689467664
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DENT.DE.70092083 Issued in WA
Practice address
1732 Broadway Unit 101
Seattle, WA 98122-2621
Phone
(206) 785-1327
NPI assigned
May 23, 2025
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111530 CA
Dentist 122300000X DENT.DE.70092083 WA Primary

Addresses

Primary practice location

1732 Broadway Unit 101
Seattle, WA 98122-2621

Mailing address

23843 Gilmore St
West Hills, CA 91307-3115
Phone (818) 813-2099

Other practice location 1

963 E Union St
Seattle, WA 98122-3822
Phone (206) 323-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250903000073 CA Order and Referring Only - DentistPractitioner - Dentist 9032610761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111530CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Dental Corporation, PC PastSince Apr 17, 2022 Accepting new patients
Lambridis Dental Corporation PastSince Sep 21, 2025 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, 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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1689467664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23843 GILMORE ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073115",
            "telephone_number": "818-813-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 BROADWAY UNIT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222621",
            "telephone_number": "206-785-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "963 E Union St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981223822",
            "country_code": "US",
            "telephone_number": "206-323-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOBADI",
        "first_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111530",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.70092083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.