Individual provider Active NPI

Ida Zarrabi, D.D.S

  • Periodontics
  • Seattle, WA
National Provider Identifier
1720466063
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
100758 Issued in CA
Practice address
1959 NE Pacific St RM B-403
Seattle, WA 98195-5530
Phone
(206) 616-9812
NPI assigned
May 6, 2015
Reactivated
Nov 5, 2020
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 100758 CA Primary

Addresses

Primary practice location

1959 NE Pacific St RM B-403
Seattle, WA 98195-5530

Mailing address

PO Box 357444
Seattle, WA 98195-7444

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

LicenseStateTypeSpecialty
100758CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1720466063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357444",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST RM B-403",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981955530",
            "telephone_number": "206-616-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRABI",
        "first_name": "IDA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "deactivation_date": "2020-07-13",
        "reactivation_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "100758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.