PEDRAUM HEYDARI (NPI# 1740778695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740778695 |
| Entity Type | Individual |
| Full Name | PEDRAUM HEYDARI |
| Credential | DMD |
| Practice Address |
109 N Meridian Suite A Puyallup WA 98371 |
| Practice Telephone | 2538485033 |
| Mailing Telephone | 2538485033 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60871932 | WA | Dental Providers |
| Street Address |
109 N MERIDIAN SUITE A |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| 1871877563 | Kara L Hartman | Registered Nurse | 1901 Meridian St So Ste A, Puyallup, WA 98371 | 2011-09-29 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371128 | Washington Dental Corporation, PC | Dentist | 732 Shaw Rd Ste B, Puyallup, WA 98372-5276 | 2019-11-26 |
| 1982154233 | Korsmo & Henry Dds Ps | Dentist | 5620 112th St E Ste 250, Puyallup, WA 98373-3218 | 2016-10-11 |
| 1871942169 | Dr. Nikolina Nielsen | Dentist | 3850 S Meridian Ste 5, Puyallup, WA 98373-3701 | 2016-06-07 |
| 1174914162 | Nazish Haq | Dentist | 11012 Canyon Rd E Ste 40, Puyallup, WA 98373-4200 | 2015-02-11 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1548607344 | Jordan James Zingerman | Dentist | 2921 5th Ave Ne Ste 110, Puyallup, WA 98372-7044 | 2013-06-03 |
| 1366796906 | Cohen, Manavi & Pakravan Inc | Dentist | 15815 Meridian E, Puyallup, WA 98375-6507 | 2012-11-05 |
| 1992059737 | Puyallup Dental, LLC | Dentist | 16420 Meridian E, Puyallup, WA 98375-2514 | 2012-11-01 |
| 1114273422 | Daniel Gilbert Schruth | Dentist | 1002 N Meridian Ste A104, Puyallup, WA 98371-4409 | 2012-07-24 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| 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.