Vahid All Atabakhsh, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60103522 Issued in WA

Practice address

24401 104TH Ave SE Ste 202
Kent, WA 98030-4903

Phone

(253) 850-6999

Fax

(253) 852-1332

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

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.

• Gentle Endodontics of Kent

  • Dentist
  • Kent, WA
  • NPI 1508314097
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1710049119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 5TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335632",
            "telephone_number": "425-285-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 104TH AVE SE STE 202",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304903",
            "telephone_number": "253-850-6999",
            "fax_number": "253-852-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATABAKHSH",
        "first_name": "VAHID",
        "middle_name": "ALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "13879",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60103522",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401411118",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "47348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asmekeb Adult Family Home LLC
• Aspire Serenity Home Health Care Inc
• Associated Behavioral Health Care Inc
• Association of University Physicians
• At Family Practice Group PS
• Athletic Potential Performance Physical Therapy LLC
• Taylor Attri
• Attune Nutrition, PLLC
• David Au, RPH.
• Audrey M.K. Yan

• Endodontics in Kent, WA
• Providers in Kent, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.