Active NPI
Nahal Darvish, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mill Creek, WA
National Provider Identifier
1720106529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE00009993
- Practice address
- 3922 148TH St SE
ND Orthodontics Suite 203
Mill Creek, WA 98012 - Phone
- (425) 379-6200
- Fax
- (425) 379-6226
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE00009993 | WA | Primary |
Addresses
Primary practice location
3922 148TH St SE
ND Orthodontics Suite 203
Mill Creek, WA 98012
Mailing address
3922 148TH St SE
ND Orthodontics Suite 203
Mill Creek, WA 98012
Phone (425) 379-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009993 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720106529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3922 148TH ST SE",
"address_2": "ND ORTHODONTICS SUITE 203",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "425-379-6200",
"fax_number": "425-379-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3922 148TH ST SE",
"address_2": "ND ORTHODONTICS SUITE 203",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "425-379-6200",
"fax_number": "425-379-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARVISH",
"first_name": "NAHAL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE00009993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.