SHAHIN ETEMADI (NPI# 1093790826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093790826 |
| Entity Type | Individual |
| Full Name | SHAHIN ETEMADI |
| Credential | D.D.S., M.S.D. |
| Practice Address |
10025 19th Ave Se Ste 202 Everett WA 98208-4275 |
| Mailing Address |
10025 19th Ave Se Suite 202 Everett WA 98208-4275 |
| Practice Telephone | 4253578747 |
| Practice Fax Number | 4253376190 |
| Mailing Telephone | 4253578747 |
| Mailing Fax Number | 4253376190 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE00010167 | WA | Dental Providers |
| Street Address |
10025 19TH AVE SE STE 202 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-4275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740698422 | Loree Bolin, Dds LLC | Clinic/Center | 10025 19th Ave Se, Suite 200, Everett, WA 98208-4275 | 2014-07-26 |
| 1063849883 | Joao Vicente Baroni Barbizam | Dentist | 10025 19th Ave Se, Suite 202, Everett, WA 98208-4275 | 2013-10-11 |
| 1760605299 | Hughes Dental Group | Dentist | 10025 19th Ave Se, Suite 200, Everett, WA 98208-4275 | 2007-04-11 |
| 1487877890 | Robert James Hughes | Dentist | 10025 19th Ave Se, Suite 200, Everett, WA 98208-4275 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689922106 | Lindsay Shane Posner | Dentist | 3229 Hoyt Ave Ste B, Everett, WA 98201-6404 | 2012-08-15 |
| 1104056910 | Lakeside Endodontics | Dentist | 9505 19th Ave Se Ste 115, Everett, WA 98208-3843 | 2009-07-15 |
| 1063661338 | Mayfield Dmd, PC | Dentist | 8104 Evergreen Way, Suite B, Mailbox 3, Everett, WA 98203-6419 | 2008-09-11 |
| 1841744950 | Tiina Oviir, Dds | Dentist | 3229 Hoyt Ave Ste B, Everett, WA 98201-6404 | 2016-08-05 |
| 1194967661 | Precision Endodontics, Pllc | Dentist | 4225 Hoyt Ave, Suite B, Everett, WA 98203-2351 | 2009-03-30 |
| 1285840744 | Joy Angelique Rivero | Dentist | 4225 Hoyt Ave, Suite B, Everett, WA 98203-2351 | 2007-05-14 |
| 1457401853 | Marshall Lewis Batchelor | Dentist | 4004 Colby Ave, Everett, WA 98201-6203 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
| 1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
| 1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1679099246 | Randy L Ball Pllc | Dentist | 336 228th Ave Ne Ste 201, Sammamish, WA 98074-7290 | 2017-08-16 |
| 1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.