Active NPI
Negin Nazarian, D.D.S
- Public Health Dentistry
- Redmond, WA
National Provider Identifier
1982052973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DE60753341
- Practice address
- 23515 NE Novelty Hill Rd Ste 209
Redmond, WA 98053-5505 - Phone
- (425) 898-7780
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13674 | MN | |
| Public Health Dentistry | 1223D0001X | DE60753341 | WA | Primary |
Addresses
Primary practice location
23515 NE Novelty Hill Rd Ste 209
Redmond, WA 98053-5505
Mailing address
17190 NE 5TH PL
Bellevue, WA 98008-4132
Phone (206) 327-4136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161010002214 | MN | Order and Referring Only - Dentist | 8022306976 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13674 | MN | MD | Dentist |
| DE60753341 | WA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1982052973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17190 NE 5TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980084132",
"telephone_number": "206-327-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23515 NE NOVELTY HILL RD STE 209",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535505",
"telephone_number": "425-898-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIAN",
"first_name": "NEGIN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2021-12-20",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13674",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "WA",
"license": "DE60753341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 20, 2021; 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.