Ahdut Bean PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60479557 Issued in WA

Legal business name

AHDUT BEAN PLLC

Practice address

4219 S Othello St Ste 105D
Seattle, WA 98118-3873

Phone

(206) 316-2351

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Yonatan Nir Ahdut, DDS

Title

Dentist/Owner

Phone

(253) 426-5821

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Green Leaf Dental Doing business as
• Green Leaf Kids Doing business as

Locations

Practitioners 1

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

• Adam Kutzner, D.D.S.

  • Dental Anesthesiology
  • Huntington Beach, CA
  • NPI 1891265807
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1881189322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 S OTHELLO ST STE 105D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183873",
            "telephone_number": "206-316-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 S OTHELLO ST STE 105D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183873",
            "telephone_number": "206-316-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHDUT BEAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "AHDUT",
        "authorized_official_first_name": "YONATAN",
        "authorized_official_middle_name": "NIR",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-426-5821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60479557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036949",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Leaf Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Leaf Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Agustin
• Winnie Agwazim
• Udas Torty Agwu
• Monika Aha
• Shani Aharon
• Jacqueline Veronica Ahern, LMHC, RD/RDN
• Ryan M Ahern, MD
• Ahimsa Counseling Services
• Ahimsa Medicine, Inc
• Cyierra'Vyamena L. Ahjjizz

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, 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 Jun 11, 2019; 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.