Ghafghazi DDS,P.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE 00010518 Issued in WA

Legal business name

GHAFGHAZI DDS,P.S.

Practice address

1002 Park Ave N Ste H
Renton, WA 98057-5632

Phone

(617) 605-5655

NPI assigned

Feb 26, 2012

Last updated

Feb 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shahram Ghafghazi, DDSNPI 1699830950

Title

President

Phone

(617) 605-5655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahram Ghafghazi, D.D.S.

  • Pediatric Dentistry
  • Burien, WA
  • NPI 1699830950
  NPD (past) Authorized official

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330214400000",
    "number": "1912271776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 10TH ST # A-364",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PARK AVE N STE H",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575632",
            "telephone_number": "617-605-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAFGHAZI DDS,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-02-26",
        "status": "A",
        "authorized_official_last_name": "GHAFGHAZI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-605-5655",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE 00010518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim K Georges, ND
• Gary H German, MD
• Chelsey Candida Gersema, FNP-C
• Get in Touch Therapy
• Surafel Befekadu Gezahegne, MD
• Shadi Ghaibi, PHARMD
• Mariah Renee Gibbs, N.C.C., LPC
• Rustin Riley Gibbs
• Sunny Sunmin Gil, DPT
• Benjaman James Gilham, AUD, D

• Pediatric Dentistry in Renton, WA
• Providers in Renton, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; 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.