Nima Foroutan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DNT.DE.60384118 Issued in WA

Practice address

9 Lake Bellevue Dr Ste 204
Bellevue, WA 98005-2454

Phone

(425) 454-3833

NPI assigned

Jul 8, 2013

Sex

Male

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

Enrolled in CA

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.

• Nima Foroutan DDS PLLC

  • Dentist
  • Bellevue, WA
  • NPI 1699130211
  NPD (past) Authorized official

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1982045977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 OVERLAKE DR E",
            "city": "MEDINA",
            "state": "WA",
            "postal_code": "980395326",
            "telephone_number": "425-786-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR STE 204",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-454-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUTAN",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DNT.DE.60384118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Fore, M.S.P.T.
• Chelsea Ann Forehand, LMT
• Joanne Foreman, FNTP
• Forensic and Clinical Psychology Services
• Formosa Acupuncture & Herbs Corp
• Denise C Fort, PH.D.
• Daniel Perry Fosmire, M.D.
• Julie Foss, L.M.P.
• Tammy Y. Foss, LMP-C
• Lucia Foster

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.