Payam Hemmat, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61085734 Issued in WA

Practice address

19620 Highway 99 Ste 106
Lynnwood, WA 98036-5565

Phone

(425) 670-1144

NPI assigned

Jul 1, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1992367700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 CORLISS AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034932",
            "telephone_number": "956-453-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19620 HIGHWAY 99 STE 106",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365565",
            "telephone_number": "425-670-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMAT",
        "first_name": "PAYAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35346",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61085734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Helgoe
• Shadae Heliodore, LVN
• Seanna Hellard
• Megan Kristine Helms
• Tiffany Marie Hemingway, L.M.P
• Hemphill Chiropractic Clinic, P.S.
• Dwight Hendricks, LMT
• Gretchen Marie Hendrickson, RN
• Tadhg Andrew Hennessy, LMP
• Genesis Henry Gonzalez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.