Individual provider Active NPI

Alireza Besharati, DMD

  • General Practice Dentistry
  • Issaquah, WA
National Provider Identifier
1760530067
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010926 Issued in WA
Practice address
2520 NE Park Dr Ste C
Issaquah, WA 98029-2636
Phone
(425) 996-0457
Fax
(425) 577-4132
NPI assigned
Jan 5, 2007
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00010926 WA Primary

Addresses

Primary practice location

2520 NE Park Dr Ste C
Issaquah, WA 98029-2636

Mailing address

2520 NE Park Dr Ste C
Issaquah, WA 98029-2636
Phone (425) 577-4132

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
DE00010926WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shadi Mohammadi Araghi PLLC Past Accepting new patients
New England Family Dentistry ,PC Past Accepting new patients
Lynn Smiles Youth Dentistry, LLC General Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1760530067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NE PARK DR STE C",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292636",
            "telephone_number": "425-577-4132",
            "fax_number": "425-996-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 NE PARK DR STE C",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292636",
            "telephone_number": "425-996-0457",
            "fax_number": "425-577-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHARATI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.