Active NPI
Tatjana Semiz, DDS
- Dentist
- Snohomish, WA
National Provider Identifier
1770948473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61074666
- Practice address
- 2709 Bickford Ave Ste a
Snohomish, WA 98290-1766 - Phone
- (425) 374-8451
- NPI assigned
- Dec 22, 2015
- Last updated
- Feb 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 65330 | CA | |
| Dentist | 122300000X | 61074666 | WA | Primary |
Addresses
Primary practice location
2709 Bickford Ave Ste a
Snohomish, WA 98290-1766
Mailing address
555 Kirkland Way Unit 301
Kirkland, WA 98033-6237
Phone (408) 688-1561
Other practice location 1
1229 N Main St
Salinas, CA 93906-2826
Phone (831) 998-9433
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61074666 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Washington Quirt Mongrain Gibree PC | General Practice | Current | Accepting new patients |
| Hsu & Shao PLLC | Dentist | Past | Accepting new patients |
Locations
2709 Bickford Ave
Ste A
Snohomish, WA 98290
Phone (425) 374-8451
Organizations & group practices 2
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.
-
dba Bickford Family Dental Care
- General Practice Dentistry
- Snohomish, WA
- NPI 1174192231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1770948473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 KIRKLAND WAY UNIT 301",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336237",
"telephone_number": "408-688-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 BICKFORD AVE STE A",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982901766",
"telephone_number": "425-374-8451"
}
],
"practiceLocations": [
{
"address_1": "1229 N Main St",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939062826",
"country_code": "US",
"telephone_number": "831-998-9433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEMIZ",
"first_name": "TATJANA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-22",
"last_updated": "2021-02-01",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "65330",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "61074666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.