Pacific Seastar Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PACIFIC SEASTAR DENTAL PLLC

Doing business as

Whole Body Dental

Practice address

1811 156TH Ave NE Ste 6
Bellevue, WA 98007-4344

Phone

(425) 643-1231

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Anthony Nguyen, DDSNPI 1447813548

Title

Owner

Phone

(650) 305-9445

Specialties & licenses 1

Addresses

Other names 1

• Whole Body Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Thien-Cong Nguyen, DDS

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1447813548
  NPD Authorized official
• Daniel Ghorbani Mashoof, D.M.D.

  • Dentist
  • Hesperia, CA
  • NPI 1497765713
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1992381560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 156TH AVE NE STE 6",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074344",
            "telephone_number": "425-643-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 156TH AVE NE STE 6",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074344",
            "telephone_number": "425-643-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SEASTAR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-305-9445",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1811 156th Ave NE Ste 6",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980074344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Whole Body Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whole Body Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pacifica Behavioral Health
• Wendy Pacifici, LCSW
• Albert Dominick Pacifico II, M.D.

• Dental Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.