Ali Nassiri PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ALI NASSIRI PLLC

Doing business as

Rainier Pediatric Dentistry

Practice address

6003 100TH St SW
Lakewood, WA 98499-2733

Phone

(425) 466-0595

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Alireza Sadre-NassiriNPI 1740544303

Title

Owner

Phone

(425) 466-0595

Specialties & licenses 1

Addresses

Other names 1

• Rainier Pediatric Dentistry Doing business as

Practitioners 1

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

• Alireza Sadre-Nassiri, D.M.D.

  • Pediatric Dentistry
  • Lakeport, CA
  • NPI 1740544303
  NPD Authorized official

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1801455381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ERIE ST UNIT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022005",
            "telephone_number": "425-466-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992733",
            "telephone_number": "425-466-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI NASSIRI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "SADRE-NASSIRI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-466-0595"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanelle Delicia Natae Alexander
• Melvin Alexander Jr., LPN
• Joann Alexanian, MD
• Alfred H Chan MD PC
• Samah Alghazali
• Dido Ali
• Mehrzad Aliabadi
• Amanda L Alicea Marcial
• Kristin Isabel Aline
• Lisa Ann Allan, MA

• Pediatric Dentistry in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.