NPIMap

Organization Active NPI

Ez Dent Denture Clinic Inc

  • Denturist
  • Bellevue, WA
National Provider Identifier
1760564538
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN0189 Issued in WA
Legal business name
EZ DENT DENTURE CLINIC INC
Practice address
1130 140TH Ave NE
#100B
Bellevue, WA 98005
Phone
(425) 746-6090
Fax
(425) 747-9856
NPI assigned
Oct 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Sabina Goobes
Title
Secretary
Phone
(425) 746-6090

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE8930 WA
Dentist 122300000X DE9742 WA
Denturist 122400000X DN0141 WA
Denturist 122400000X DN0189 WA Primary

Addresses

Primary practice location

1130 140TH Ave NE
#100B
Bellevue, WA 98005

Mailing address

1130 140TH Ave NE
#100B
Bellevue, WA 98005
Phone (425) 746-6090

Other identifiers 1

IdentifierTypeStateIssuer
5023734MedicaidWA

National Provider Directory

National Provider Directory

Locations

1130 140th Ave NE
Ste 100B
Bellevue, WA 98005
Phone (425) 746-6090

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760564538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 140TH AVE NE",
            "address_2": "#100B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-746-6090",
            "fax_number": "425-747-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 140TH AVE NE",
            "address_2": "#100B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-746-6090",
            "fax_number": "425-747-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ DENT DENTURE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOOBES",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "425-746-6090"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE8930",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE9742",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN0141",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN0189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023734",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.