Active NPI
Camran Saied Zafarnia, D.D.S
- General Practice Dentistry
- Kikland, WA
National Provider Identifier
1891919775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00007384
- Practice address
- 12819 120TH Ave NE
Suite I
Kikland, WA 98034 - Phone
- (425) 803-0400
- Fax
- (425) 803-3368
- NPI assigned
- Apr 12, 2007
- Last updated
- Jun 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00007384 | WA | Primary |
Addresses
Primary practice location
12819 120TH Ave NE
Suite I
Kikland, WA 98034
Mailing address
12819 120TH Ave NE
Suite I
Kikland, WA 98034
Phone (425) 803-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00007384 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Dental Clinic | Current | Accepting new patients |
Locations
12819 120th Ave NE
Ste I
Kirkland, WA 98034
Phone (425) 803-0400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Kirkland, WA
- NPI 1447190749
-
- Dentist
- Kirkland, WA
- NPI 1023455540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1891919775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12819 120TH AVE NE",
"address_2": "SUITE I",
"city": "KIKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-803-0400",
"fax_number": "425-803-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12819 120TH AVE NE",
"address_2": "SUITE I",
"city": "KIKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-803-0400",
"fax_number": "425-803-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAFARNIA",
"first_name": "CAMRAN",
"middle_name": "SAIED",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00007384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.