Individual provider Active NPI

Tamara Sardar Al Karadaghi, DDS

  • Orofacial Pain Dentistry
  • Bellingham, WA
National Provider Identifier
1902666720
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
DE61444295 Issued in WA
Practice address
3800 Byron Ave Ste 100
Bellingham, WA 98229-2877
Phone
(360) 389-4784
NPI assigned
Mar 20, 2024
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE61444295 WA
Orofacial Pain Dentistry 1223X2210X DE61444295 WA Primary

Addresses

Primary practice location

3800 Byron Ave Ste 100
Bellingham, WA 98229-2877

Mailing address

28702 NE 155TH St
Duvall, WA 98019-8021
Phone (425) 877-5181

Other practice location 1

120 Avenue A Ste A
Snohomish, WA 98290-2961
Phone (360) 863-2517

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
I20250225000631 WA Practitioner - Orofacial Pain 9537689351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orofacial Pain
Education
Univ of Calif, Los Angeles School of Dentistry, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 Ave a
Suite a
Snohomish, WA 98290-2961
Phone (360) 863-2517

3800 Byron Ave
Suite 100
Bellingham, WA 98229-2877
Phone (360) 389-4784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61444295WAMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamara Sardar DDS PLLC Oral and Maxillofacial Surgery CurrentSince Dec 1, 2024 Accepting new patients
Tamara Sardar DDS PLLC Oral and Maxillofacial Surgery Current Accepting new patients

Locations

3800 Byron Ave
Ste 100
Bellingham, WA 98229
Phone (360) 389-4784

120 Avenue A
Ste A
Snohomish, WA 98290
Phone (360) 568-8581

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.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1902666720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28702 NE 155TH ST",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198021",
            "telephone_number": "425-877-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 BYRON AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292877",
            "telephone_number": "360-389-4784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Avenue A Ste A",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982902961",
            "country_code": "US",
            "telephone_number": "360-863-2517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL KARADAGHI",
        "first_name": "TAMARA",
        "middle_name": "SARDAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE61444295",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "WA",
            "license": "DE61444295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.