Eltien, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ELTIEN, LLC

Practice address

7900 E Green Lake Dr N Ste 200
Seattle, WA 98103-4818

Phone

(206) 524-0255

Fax

(206) 524-0240

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Imre T Gyarmati, DDS

Title

Doctor

Phone

(206) 524-0255

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Dental Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shokofeh Tabaraie, DDS

  • Dentist
  • Seattle, WA
  • NPI 1710126354
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790980233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034818",
            "telephone_number": "206-524-0255",
            "fax_number": "206-524-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034818",
            "telephone_number": "206-524-0255",
            "fax_number": "206-524-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELTIEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GYARMATI",
        "authorized_official_first_name": "IMRE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "206-524-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen J Elsner, MSW
• Lisa Marie Elsonbaty, DPT
• Diana Louise Elstad
• Matthew Casey Elston, D.M.D
• Christine Marie Elstrott
• Julia Elting, SUDPT
• Darcy Elton, LCSW
• Jennifer Elve
• Jon R. Elvrom, PT
• Fatima Elwalid, MD

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.