Active NPI
Nisha Sharoff Ashwin, DDS,MS
- Oral and Maxillofacial Surgery (Dentist)
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DE60800403
- Practice address
- 9650 15TH Ave SW Ste 100
Seattle, WA 98106 - Phone
- (206) 965-1005
- Fax
- (206) 965-1042
- NPI assigned
- May 18, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60800403 | WA | |
| General Practice Dentistry | 1223G0001X | DE60800403 | WA | |
| Orofacial Pain Dentistry | 1223X2210X | 60800403 | WA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE60800403 | WA | Primary |
Addresses
Primary practice location
9650 15TH Ave SW Ste 100
Seattle, WA 98106
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256 ext. 8512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2100188 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60800403 | WA | MD | General Practice Dentistry |
| 60800403 | WA | MD | Orofacial Pain Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Basin Health Association | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Columbia Basin Health Association | Current | Accepting new patients | |
| Columbia Basin Health Association | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients |
Locations
601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512
1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250
9650 15th Ave SW
Ste 100
Seattle, WA 98106
Phone (206) 965-1000
9650 15th Ave SW
Seattle, WA 98106
Phone (206) 965-1000
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
Interoperability endpoints
- nsharoffashwin586773@direct.multicare.org
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Connell, WA
- NPI 1528316379
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225716947
-
- Federally Qualified Health Center (FQHC)
- Mattawa, WA
- NPI 1710232749
-
- Federally Qualified Health Center (FQHC)
- Burien, WA
- NPI 1245387679
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1720579378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 15TH AVE SW STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98106",
"telephone_number": "206-965-1005",
"fax_number": "206-965-1042"
}
],
"practiceLocations": [
{
"address_1": "1515 E Columbia St",
"address_purpose": "LOCATION",
"city": "Othello",
"state": "WA",
"postal_code": "993441846",
"country_code": "US",
"telephone_number": "509-488-5256 x8512",
"fax_number": "509-488-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAROFF ASHWIN",
"first_name": "NISHA",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60800403",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60800403",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "WA",
"license": "60800403",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE60800403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2100188",
"state": "WA"
}
],
"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 Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.