Pinnacle Sleep Care Northwest LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PINNACLE SLEEP CARE NORTHWEST LLC

Practice address

14030 NE Woodinville Duvall Rd
Woodinville, WA 98072-8550

Phone

(425) 424-0744

Fax

(425) 424-3545

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Fetneh Etemadi

Title

Manager

Phone

(425) 770-2288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Saman Saghafi, DDS

  • Dentist
  • Woodinville, WA
  • NPI 1609813047
  Medicare reassignment NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1710710090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 NE WOODINVILLE DUVALL RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728550",
            "telephone_number": "425-424-0744",
            "fax_number": "425-424-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 NE WOODINVILLE DUVALL RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728550",
            "telephone_number": "425-424-0744",
            "fax_number": "425-424-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE SLEEP CARE NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ETEMADI",
        "authorized_official_first_name": "FETNEH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-770-2288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Elizabeth Peterson, PSY.D.
• Lise Mary Peterson, LMP
• Physical Therapy Clinics, Inc., PS
• Physical Therapy Clinics, Inc., PS
• Jessica Pinkerton, LMP
• Andrea Pintacura, SLP
• Jeffrey Plough
• Stephanie Pesey Poch, PHARMD
• Elaine W Pool, MSW
• Natalie Potts, MS RD CD

• General Practice Dentistry in Woodinville, WA
• Providers in Woodinville, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.