Organization Active NPI

Nima Ehsan MD DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Redmond, WA
National Provider Identifier
1962297952
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
NIMA EHSAN MD DDS PLLC
Practice address
8575 164TH Ave NE Ste 300
Redmond, WA 98052-3679
Phone
(425) 882-9116
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Nima Ehsan, MD DDSNPI 1962781427
Title
Owner
Phone
(425) 882-9116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

8575 164TH Ave NE Ste 300
Redmond, WA 98052-3679

Mailing address

8575 164TH Ave NE Ste 300
Redmond, WA 98052-3679
Phone (425) 882-9116

Other names 1

  • Redmond Implant and Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

8575 164th Ave NE
Ste 300
Redmond, WA 98052
Phone (425) 882-9116

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1962297952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 164TH AVE NE STE 300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523679",
            "telephone_number": "425-882-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 164TH AVE NE STE 300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523679",
            "telephone_number": "425-882-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMA EHSAN MD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "EHSAN",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-882-9116",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Implant and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.