AHDUT BEAN PLLC (NPI# 1881189322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881189322 |
| Entity Type | Organization |
| Organization Name | AHDUT BEAN PLLC |
| Other Organization Name | GREEN LEAF KIDS |
| Practice Address |
4219 S Othello St Ste 105d Seattle WA 98118-3873 |
| Practice Telephone | 2063162351 |
| Mailing Telephone | 2063162351 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. YONATAN NIR AHDUT (DENTIST/OWNER) |
| Authorized Official Telephone | 2534265821 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60479557 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2036949 | 05 |
| Other Name | Type Code |
|---|---|
| Green Leaf Dental | Doing Business As Name - Organization |
| Green Leaf Kids | Doing Business As Name - Organization |
| Street Address |
4219 S OTHELLO ST STE 105D |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1023637725 | Urban Dental Group | Clinic/Center | 6800 Greenwood Ave N Unit A, Seattle, WA 98103-5228 | 2020-04-13 |
| 1285260067 | Sonia Kim Takasaki Dmd Pllc | Clinic/Center | 9730 3rd Ave Ne Ste 204, Seattle, WA 98115-2023 | 2020-03-12 |
| 1396396339 | Megan K. Burns, Dds, Pllc | Clinic/Center | 8757 Holman Rd Nw, Seattle, WA 98117-3464 | 2019-09-20 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1154825321 | Aboulhosn and Valentine Pllc | Clinic/Center | 2815 2nd Ave Ste 101, Seattle, WA 98121-1262 | 2018-03-21 |
| 1184135881 | Revive Smiles Dentistry, LLC | Clinic/Center | 259 Yale Ave N, Seattle, WA 98109-5430 | 2017-10-20 |
| 1619497872 | Julia R Moritis Dds Pllc | Clinic/Center | 509 Olive Way Ste 1520, Seattle, WA 98101-1700 | 2017-06-20 |
| 1407382211 | Yen H. Nguyen-tran Dds, Pllc | Clinic/Center | 810 Martin Luther King Jr Way, Seattle, WA 98122-5046 | 2017-05-11 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| Find all providers in SEATTLE | ||||
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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.