Natasha Habib, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009369 Issued in WA

Practice address

9710 State Ave
Marysville, WA 98270-2232

Phone

(360) 653-1742

Fax

(360) 653-2099

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Natasha Habib DDS PS

  • Dental Clinic/Center
  • Mill Creek, WA
  • NPI 1326646035
  NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1821174517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 168TH SWST A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980372749",
            "telephone_number": "425-743-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702232",
            "telephone_number": "360-653-1742",
            "fax_number": "360-653-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "NATASHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR AND INDUSTRIE",
            "identifier": "0187740",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3664HA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5042783",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrian Gunerius
• Deepika Gupte
• Kira Guyer
• Stephanie L Guzman-Fix, MA-C
• Renee Lee Guzman
• Wosene Hailamariam Habte I, RN
• Lauren Joy Hagen, M.A. CF-SLP
• Haggen, Inc
• Alysa Hall
• Deborah Lee Hall

• General Practice Dentistry in Marysville, WA
• Providers in Marysville, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.