NPIMap

Organization Active NPI

Ieva Dabeka DDS

  • Dentist
  • Kirkland, WA
National Provider Identifier
1720431349
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IEVA DABEKA DDS
Practice address
11817 98TH Ave NE
Kirkland, WA 98034-4214
Phone
(425) 284-4455
Fax
(425) 284-4451
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Dr. Ieva Dabeka, DDSNPI 1962807537
Title
Owner
Phone
(310) 890-3408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11817 98TH Ave NE
Kirkland, WA 98034-4214

Mailing address

11817 98TH Ave NE
Kirkland, WA 98034-4214
Phone (425) 284-4455

Other names 1

  • EVA FAMILY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

11817 98th Ave NE
Kirkland, WA 98034
Phone (425) 284-4455

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1720431349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11817 98TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344214",
            "telephone_number": "425-284-4455",
            "fax_number": "425-284-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11817 98TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344214",
            "telephone_number": "425-284-4455",
            "fax_number": "425-284-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEVA DABEKA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "DABEKA",
        "authorized_official_first_name": "IEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-890-3408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVA FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.