Mohammedreza Atashzareh

Primary specialty

DentistTaxonomy code 122300000X

License

DE60579051 Issued in WA

Practice address

7030 35TH Ave NE Ste B
Seattle, WA 98115-5917

Phone

(205) 526-5600

NPI assigned

Jul 8, 2015

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Wedgwood Family Dentistry

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1538845276
  NPD Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1710360797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 HUDSON ST STE 200",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323727",
            "telephone_number": "503-484-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 35TH AVE NE STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155917",
            "telephone_number": "205-526-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATASHZAREH",
        "first_name": "MOHAMMEDREZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60579051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ata Podiatric and Integrative Medicine, PLLC
• Anna Maria Ataei, DPT
• Taoufik Atallah, AAC
• Elena I Atanasova, FNP
• Flora Ataran, MD, MPH
• Atc Psychiatry
• Kunakorn Atchaneeyasakul
• Gregory Martin Atchison
• Lucas Martin Atencio
• Brittany Ater, LMFTA

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.