Reza Navabi Shirazi, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DE60792614 Issued in WA

Practice address

11065 Pacific Crest PL NW Ste B105
Silverdale, WA 98383-6607

Phone

(360) 261-6154

NPI assigned

Aug 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Washington Dental Corporation

  • General Practice Dentistry
  • Silverdale, WA
  • NPI 1295108694
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1972059178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BURWELL ST APT 110",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371470",
            "telephone_number": "305-600-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 PACIFIC CREST PL NW STE B105",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836607",
            "telephone_number": "360-261-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVABI SHIRAZI",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22162",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60792614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praveena Nanduri
• Clarice Aldine Nash, ARNP
• Natural Options Health Clinic, Inc
• Naumann Johnson Orthodontics PLLC
• Siegfried Ariel Naumann
• Naval Hospital Bremerton
• Nawal Alkharouf
• Abigail Nees
• Carissa Nees
• Desirae Nees, LMT

• Dentist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.