Nima Ehsan, MD, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE61462451 Issued in WA

Practice address

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

Phone

(425) 882-9116

NPI assigned

Aug 15, 2011

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nehsan@direct.westerndental.com

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.

• Nima Ehsan MD DDS PLLC

  dba Redmond Implant and Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Redmond, WA
  • NPI 1962297952
  NPD Authorized official
• Dr Randall J Eggert DDS PS

  • Oral and Maxillofacial Surgery (Dentist)
  • Redmond, WA
  • NPI 1518038017
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1962781427",
    "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"
        },
        {
            "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": {
        "last_name": "EHSAN",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE61462451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby A Eckland, D.D.S.
• Wilhelm Bruno Von Eckroth
• Sophie Edelman
• Laura C Eggers, OTR/L
• Randall James Eggert, D.D.S.
• Theron Davis Eichenberger, DDS
• Jada Eisenhall
• Emily Ekanger
• Kelsey Leigh El Fassy Fihry, DOULA
• Ellen Vyas DDS PLLC (Revive Dental Redmond)

• Oral and Maxillofacial Surgery (Dentist) in Redmond, WA
• Providers in Redmond, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

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