Emma Etemadi, DDS, PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00010166 Issued in WA

Legal business name

EMMA ETEMADI, DDS, PS

Doing business as

Duvall Family Dental

Practice address

14142 Main St NE
Suite 104
Duvall, WA 98019-9007

Phone

(425) 802-5806

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emma Kate Etemadi, DDS

Title

Owner

Phone

(425) 802-5806

Specialties & licenses 1

Addresses

Other names 1

• Duvall Family Dental Doing business as

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1811264005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14142 MAIN ST NE",
            "address_2": "SUITE 104",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980199007",
            "telephone_number": "425-802-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14142 MAIN ST NE",
            "address_2": "SUITE 104",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980199007",
            "telephone_number": "425-802-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA ETEMADI, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "ETEMADI",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-802-5806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duvall Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sol Marie Doran, MA, LMHC
• Christie Driskell, LICSW
• Duvall Advanced Family Eyecare, PS
• Duvall Hills Adult Family Home LLC
• Kelsey Maureen Ellingson, MS, NCC, LHMC
• Emma Kate Etemadi, DDS, PS
• Evergreen Circuits LLC
• Joshua Cal Evergreen, LMHCA
• David S Farrell, D.O.
• Nancy Ferara, RN

• Dental Clinic/Center in Duvall, WA
• Providers in Duvall, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.