Nader Tawakkol, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60932123 Issued in WA

Practice address

1520 Duvall Ave NE
Renton, WA 98059-3920

Phone

(425) 228-7460

NPI assigned

Jun 9, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• N. Tawakkol DDS PLLC

  • Dentist
  • Renton, WA
  • NPI 1184321457
  NPD Authorized official
• Direnzo Dental, PLLC

  • Dental Clinic/Center
  • Ann Arbor, MI
  • NPI 1366326936
  NPD (past)
• Shannon Norman-Kotre, DDS, PLLC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1598939910
  NPD (past)

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1992234173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 EMERALD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 DUVALL AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593920",
            "telephone_number": "425-228-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWAKKOL",
        "first_name": "NADER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022303",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60932123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jacqueline Tannheimer, BFA, CDP, NCAC I
• Kari Tanta, OT
• Geyang Tao, PHARMD
• Yessenia Marisol Tapia
• Shiho Sheila Tatsunami, ATC
• Deepeka Taya, SUDPT
• Allison Kay Taylor, RD/RDN
• Anthony Taylor
• Brianne N Taylor, M.D.
• Carina Taylor, MS, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.