Active NPI
Sara Sobhani, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1871261057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61167362
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220222000638 | WA | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.