Individual provider Active NPI

Sara Sobhani, DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1871261057
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61167362 Issued in WA
Practice address
10640 16TH Ave SW
Seattle, WA 98146-2076
Phone
(877) 378-4899
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61167362 WA Primary

Addresses

Primary practice location

10640 16TH Ave SW
Seattle, WA 98146-2076

Mailing address

12670 120TH Ave NE Apt 604
Kirkland, WA 98034-7519
Phone (310) 755-1217

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220222000638 WA Order and Referring Only - DentistPractitioner - Dentist 7618361452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1871261057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 120TH AVE NE APT 604",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347519",
            "telephone_number": "310-755-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981462076",
            "telephone_number": "877-378-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBHANI",
        "first_name": "SARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61167362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.