Active NPI
Neal Christopher Raval, BDS, MSD
- Periodontics
- Bellevue, WA
National Provider Identifier
1790036903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE60280931
- Practice address
- 1418 112TH Ave NE Ste 100
Bellevue, WA 98004-3718 - Phone
- (425) 453-1010
- NPI assigned
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE60280931 | WA | Primary |
Addresses
Primary practice location
1418 112TH Ave NE Ste 100
Bellevue, WA 98004-3718
Mailing address
2801 1St Ave Apt 509
Seattle, WA 98121-1138
Phone (206) 660-4443
Other practice location 1
385 Front St N # 100
Issaquah, WA 98027-2929
Phone (425) 453-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 18, 2024 through Jul 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raval DDS MSD PLLC | Periodontics | Current | Accepting new patients |
| Implant & Periodontic Specialists | Periodontics | Past | Accepting new patients |
| Neal C Raval DDS MSD PS Inc | Periodontics | Past | Accepting new patients |
Locations
567 John St
Ste 2
Seattle, WA 98109
Phone (206) 724-0188
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 and National Provider Directory roles.
-
- Periodontics
- Seattle, WA
- NPI 1780542399
-
- Periodontics
- Bellevue, WA
- NPI 1225445539
-
- Periodontics
- Bellevue, WA
- NPI 1356768774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1790036903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 1ST AVE APT 509",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211138",
"telephone_number": "206-660-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 112TH AVE NE STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043718",
"telephone_number": "425-453-1010"
}
],
"practiceLocations": [
{
"address_1": "385 Front St N # 100",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980272929",
"country_code": "US",
"telephone_number": "425-453-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVAL",
"first_name": "NEAL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "BDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE60280931",
"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 15, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.