Individual provider Active NPI

Michaela Bobeva, DDS, MSD

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1780773655
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009991 Issued in WA
Practice address
15419 NE 20TH St
Suite #101
Bellevue, WA 98007-3800
Phone
(425) 747-0144
Fax
(425) 747-1413
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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 DE00009991 WA Primary

Addresses

Primary practice location

15419 NE 20TH St
Suite #101
Bellevue, WA 98007-3800

Mailing address

15419 NE 20TH St
Suite #101
Bellevue, WA 98007-3800
Phone (425) 747-0144

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
DE00009991WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michaela Bobeva DDS MSD PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1780773655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15419 NE 20TH ST",
            "address_2": "SUITE #101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073800",
            "telephone_number": "425-747-0144",
            "fax_number": "425-747-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15419 NE 20TH ST",
            "address_2": "SUITE #101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073800",
            "telephone_number": "425-747-0144",
            "fax_number": "425-747-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBEVA",
        "first_name": "MICHAELA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009991",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 2, 2013; 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.