Terigray Nnanabu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE61311691 Issued in WA

Practice address

13030 Military Rd S Ste 210
Tukwila, WA 98168-3080

Phone

(206) 839-3600

NPI assigned

Mar 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terigra.nnanabu.p3@direct.hpc.nextgenshare.com

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.

• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1831199454
  Medicare reassignment NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770471377
  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Federal Way, WA
  • NPI 1104819788
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Tukwila, WA
  • NPI 1124482310
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Bothell, WA
  • NPI 1447515887
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Des Moines, WA
  • NPI 1477807261
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1538152269
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1548253263
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Auburn, WA
  • NPI 1730172420
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Seatac, WA
  • NPI 1831778620
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621
  NPD (past)

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1760077127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 MILITARY RD S STE 210",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683080",
            "telephone_number": "206-839-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26401 Pacific Hwy S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981989247",
            "country_code": "US",
            "telephone_number": "206-870-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NNANABU",
        "first_name": "TERIGRAY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61311691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnnanabu20241@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "13030 Military Rd S Ste 210",
            "city": "Tukwila",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981683080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Lawrence Nicholes, DC
• Nimble Pharmacy, Inc
• Christopher Lee Nimmo, LMP
• Elyse Nishikawa
• Joe Njoroge
• Regan K Nolten
• Randy Kelly Noone
• Sucaad Noor
• Dennis P. Nordlund, D.D.S.
• Nordstrom Inc & Subsidiaries

• Dentist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Dentist in Washington

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

Verify at the official NPI Registry.