Modaresi PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MODARESI PLLC

Practice address

13114 120TH Ave NE
Kirkland, WA 98034-3014

Phone

(425) 296-7555

NPI assigned

Mar 26, 2026

Organization subpart

No

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

Authorized official

Name

Neda ModaresiNPI 1437496239

Title

Owner

Phone

(425) 296-7555

Specialties & licenses 1

Addresses

Practitioners 1

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

• Neda Modaresi, DDS, MS

  • Pediatric Dentistry
  • Kirkland, WA
  • NPI 1437496239
  NPD Authorized official

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1952240764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014",
            "telephone_number": "425-296-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODARESI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "MODARESI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-296-7555"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaleh Moazami, DMD
• Mina Moazzeni, DDS
• Mock & Tran-Dilay Dentistry PLLC
• Erich Stephen Mock I, DDS
• Mod Skin and Body Clinic
• Neda Modaresi, DDS, MS
• Crystal Moddison
• Toni Moe, NBHWC, ACC
• Amina Mohamed
• Mohamed Odowa Mohamed

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.