DR. SHANNON S FARAZI (NPI# 1326474693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326474693 |
| Entity Type | Individual |
| Full Name | DR. SHANNON S FARAZI |
| Credential | D.M.D. |
| Practice Address |
10217 125th Street Ct E Puyallup WA 98374-2761 |
| Practice Telephone | 2538644760 |
| Practice Fax Number | 2538644766 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE 60391320 | WA | Dental Providers |
| Street Address |
10217 125TH STREET CT E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437115789 | Surinder Kumar Singh | Internal Medicine | 10217 125th Street Ct E, Ct E 2nd Fl, Puyallup, WA 98374-2761 | 2006-04-25 |
| 1124659578 | Paige Marie Ourada | Physician Assistant | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2020-02-03 |
| 1467965954 | Heather Buzbee | Nurse Practitioner | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2017-11-07 |
| 1083022123 | Jungjoo Yi | Nurse Practitioner | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2014-07-31 |
| 1699036194 | Angelica Bejar Martinez | Family Medicine | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2012-06-01 |
| 1164757332 | Cesar L Molina Sisimit | Counselor | 10217 125th Street Ct E, Court E, 2nd Floor, Puyallup, WA 98374-2761 | 2009-10-06 |
| 1376706804 | Jose Contreras | Counselor | 10217 125th Street Ct E, Court E, Puyallup, WA 98374-2761 | 2008-07-03 |
| 1013178037 | Sea-mar Community Health Center | Clinic/Center | 10217 125th Street Ct E, Court E, Puyallup, WA 98374-2761 | 2008-06-23 |
| 1053517763 | Daniel Millar | General Practice | 10217 125th Street Ct E, 3rd Floor, Puyallup, WA 98374-2761 | 2007-06-21 |
| 1528116480 | Sea-mar Community Health Center | Dentist | 10217 125th Street Ct E, 3rd Floor, Puyallup, WA 98374-2761 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1083269682 | Breinn Ashley Bertrand | Dentist | 13613 Meridian E Ste 180, Puyallup, WA 98373-3664 | 2019-08-09 |
| 1164919981 | Puyallup Park Dental | Dentist | 13909 Meridian E Ste A1, Puyallup, WA 98373-9180 | 2018-04-17 |
| 1033614276 | Violeta Atanasova Stoyanova | Dentist | 12005 Meridian E Ste 102, Puyallup, WA 98373-3423 | 2018-03-29 |
| 1013367150 | Gibran Hyder | Dentist | 8012 112th Street Ct E Ste 320, Puyallup, WA 98373-7856 | 2016-06-20 |
| 1083076996 | D.l. Vanderschelden, Dds, PC | Dentist | 18710 Meridian E Ste 216, Puyallup, WA 98375-2231 | 2016-03-22 |
| 1558786145 | Abedi Advanced Family Dentistry Pllc | Dentist | 803 39th Ave Sw Ste E, Puyallup, WA 98373-3692 | 2014-02-19 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1598041535 | Han & Nigam Dmd Pllc | Dentist | 2321 Meridian St S, Puyallup, WA 98373-1554 | 2011-10-21 |
| Find all providers in PUYALLUP | ||||
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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.