NPIMap

Organization Active NPI

Nguyen Dehkordi PLLC

Doing business as Smiles Maple Valley

  • General Practice Dentistry
  • Maple Valley, WA
National Provider Identifier
1790172625
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008773 Issued in WA
Legal business name
NGUYEN DEHKORDI PLLC
Doing business as
Smiles Maple Valley
Practice address
23925 225TH Way SE Ste a
Maple Valley, WA 98038-5291
Phone
(425) 432-0561
Fax
(425) 432-2938
NPI assigned
Apr 17, 2015
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Dr. Narges Lotfizadeh Dehkordi, DDSNPI 1457838294
Title
Owner
Phone
(425) 432-0561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00008773 WA Primary

Addresses

Primary practice location

23925 225TH Way SE Ste a
Maple Valley, WA 98038-5291

Mailing address

23925 225TH Way SE Ste a
Maple Valley, WA 98038-5291
Phone (425) 432-0561

Other names 1

  • Smiles Maple Valley Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1790172625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23925 225TH WAY SE STE A",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385291",
            "telephone_number": "425-432-0561",
            "fax_number": "425-432-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23925 225TH WAY SE STE A",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385291",
            "telephone_number": "425-432-0561",
            "fax_number": "425-432-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN DEHKORDI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "LOTFIZADEH DEHKORDI",
        "authorized_official_first_name": "NARGES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-432-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Maple Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.