Shahram Ghafghazi, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00010518 Issued in WA

Practice address

14257 Ambaum Blvd SW # 201
Burien, WA 98166-1421

Phone

(617) 605-5655

NPI assigned

Dec 27, 2006

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)

Not enrolled

State licenses

Practice roles

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.

• Ghafghazi DDS,P.S.

  • Pediatric Dentistry
  • Renton, WA
  • NPI 1912271776
  NPD (past) Authorized official
• Shahram Ghafghazi DDS,PS

  • Pediatric Dentistry
  • Burien, WA
  • NPI 1285884718
  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1699830950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14257 AMBAUM BLVD SW # 201",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661421",
            "telephone_number": "617-605-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14257 AMBAUM BLVD SW # 201",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661421",
            "telephone_number": "617-605-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFGHAZI",
        "first_name": "SHAHRAM",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gately, LSWAIC
• Dana Lynde Gauvin
• Neilsen Gazo
• Lana Gebow, LPN
• Saba S Gebremecal, RPH
• Arta Gharib Parsa
• Basma Mohamed Ahmed Saleh Ghoneim
• Megan Gibbard Kline, LICSW
• Maris Gibson
• Cathy Pham Giese, O.D.

• Pediatric Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.