Individual provider Active NPI

Neal Christopher Raval, BDS, MSD

  • Periodontics
  • Bellevue, WA
National Provider Identifier
1790036903
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE60280931 Issued in WA
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

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.