Setareh Enghiad, DDS, MSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE61223220 Issued in WA

Practice address

4500 Sand Point Way NE
Seattle, WA 98105-3900

Phone

(206) 524-3773

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

  • Periodontics
  • Seattle, WA
  • NPI 1659219350
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1922722594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE STE 218",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053900",
            "telephone_number": "206-524-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12301 NE 10th Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052487",
            "country_code": "US",
            "telephone_number": "425-428-6422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGHIAD",
        "first_name": "SETAREH",
        "credential": "DDS, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE61223220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susheela Marie Engelbrecht, CNM, ARNP
• Karly Engelhard
• Haydn Rutyh Engelke, LAC
• Evan Robert Engelmann
• Sarah A Engelskirchen-Bugler
• Katie Enghusen
• Clair Englander, CNM, ARNP
• Marcella Irene Engle-Hargrove, TECHNICIAN
• Catherine M Englehart, DC
• Denise Englehart

• Periodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.