NPIMap

Organization Active NPI

Nima Foroutan DDS PLLC

  • Dentist
  • Bellevue, WA
National Provider Identifier
1699130211
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60384118 Issued in WA
Legal business name
NIMA FOROUTAN DDS PLLC
Practice address
410 Bellevue Way SE Ste 102
Bellevue, WA 98004-6649
Phone
(425) 454-3833
Fax
(425) 635-9312
NPI assigned
Dec 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Authorized official

Name
Dr. Nima ForoutanNPI 1982045977
Title
Dentist
Phone
(425) 786-8879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60384118 WA Primary

Addresses

Primary practice location

410 Bellevue Way SE Ste 102
Bellevue, WA 98004-6649

Mailing address

410 Bellevue Way SE Ste 102
Bellevue, WA 98004-6649
Phone (425) 454-3833

National Provider Directory

National Provider Directory

Locations

410 Bellevue Way SE
Ste 102
Bellevue, WA 98004
Phone (425) 454-3833

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1699130211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BELLEVUE WAY SE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046649",
            "telephone_number": "425-454-3833",
            "fax_number": "425-635-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BELLEVUE WAY SE STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046649",
            "telephone_number": "425-454-3833",
            "fax_number": "425-635-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMA FOROUTAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "FOROUTAN",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-786-8879",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60384118",
            "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 Dec 24, 2015; 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.