DR. ROOZBEH KHOSRAVI (NPI# 1629433891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629433891 |
| Entity Type | Individual |
| Full Name | DR. ROOZBEH KHOSRAVI |
| Credential | DMD, PHD |
| Practice Address |
22620 Se 4th St Ste 210 Sammamish WA 98074-7375 |
| Practice Telephone | 4255262060 |
| Mailing Telephone | 4255262060 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE60504324 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14655 Ne Bel Red Rd # F103, Bellevue, WA 980073900 | 4255262060 |
| Street Address |
22620 SE 4TH ST STE 210 |
| City | SAMMAMISH |
| State | WA |
| Zip Code | 98074-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962913509 | Roozbeh Khosravi Dmd Phd LLC | Dentist | 22620 Se 4th St Ste 210, Sammamish, WA 98074-7375 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435807 | Jenna Crutsinger | Family Medicine | 22850 Ne 8th Street Ste 103, Sammamish, WA 98074 | 2019-09-10 |
| 1699212456 | Washington Dental Corporation, PC | Dentist | 22640 Se 4th Street, Suite 212, Sammamish, WA 98074 | 2017-01-31 |
| 1457802886 | Nazarena Deschiave | Interpreter | 906 207th Pl Ne, Sammamish, WA 98074 | 2016-10-20 |
| 1649578600 | Christopher Bao Brown | Dentist | 22620 Se 4th St Ste 150, Sammamish, WA 98074 | 2011-03-01 |
| 1942522834 | Tinsy K George | Pharmacist | 526 228th Ave Ne, Bartell Drugs, Sammamish, WA 98074 | 2010-02-19 |
| 1285855858 | Helga S Ding | Dentist | 21325 Se 3rd Street, Sammamish, WA 98074 | 2007-05-01 |
| 1316079684 | Sabiha Tyab Haider | Occupational Therapist | 2325 237th Pl Ne, Sammamish, WA 98074 | 2007-03-12 |
| 1053477976 | Rhonda Newton Dds | Dentist | 707 228th Ave Ne, Sammamish, WA 98074 | 2006-12-28 |
| 1699849331 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 22620 Se 4th Street, Suite #200, Sammamish, WA 98074 | 2006-11-17 |
| 1578662011 | Michael Allan Macinnes | Dentist | 336 228th Ave Ne, Suite 200, Sammamish, WA 98074 | 2006-09-21 |
| Find all providers in zip 98074 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539301 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd Ste 200, Sammamish, WA 98074-7105 | 2020-08-19 |
| 1548525660 | Robert Lawrence Trujillo | Dentist | 22603 Ne Inglewood Hill Rd # 200, Sammamish, WA 98074-7105 | 2012-07-05 |
| 1548887987 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd # 200, Sammamish, WA 98074-7105 | 2020-07-01 |
| 1962913509 | Roozbeh Khosravi Dmd Phd LLC | Dentist | 22620 Se 4th St Ste 210, Sammamish, WA 98074-7375 | 2017-10-23 |
| 1669894507 | Nelson and Steinhart, Pllc | Dentist | 336 228th Ave Ne, Suite 300, Sammamish, WA 98074-7289 | 2014-01-13 |
| 1639358336 | Gregory Y Ogata | Dentist | 22603 Ne Inglewood Hill Rd, Suite 200, Sammamish, WA 98074-7105 | 2007-10-30 |
| 1407045875 | Todd David Steinhart | Dentist | 336 228th Ave Ne, Suite 300, Sammamish, WA 98074-7289 | 2007-10-22 |
| 1427192020 | Mark W Nelson | Dentist | 336 228th Ave Ne, #300, Sammamish, WA 98074 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686175 | Paul S. Kahlon, Pllc | Dentist | 13209 44th Ave Se Ste 102, Mill Creek, WA 98012-8985 | 2020-07-21 |
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1861040800 | Jack Hou & Kortne Frederick Hou PC | Dentist | 451 Duvall Ave Ne Ste 230, Renton, WA 98059-4675 | 2019-09-03 |
| 1972165942 | Claire Kuo Pllc | Dentist | 4300 Talbot Rd S Ste 401, Renton, WA 98055-6238 | 2019-06-30 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1699331363 | Chet Jenkins PC | Dentist | Pioneer Specialty Services, 110 W Yakima Valley Hwy, Sunnyside, WA 98944-1352 | 2019-05-17 |
| 1578025946 | Samuel Finkleman | Dentist | 411 Strander Blvd Ste 104, Tukwila, WA 98188-2924 | 2019-04-03 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| 1558834556 | Neal Eden Bastian | Dentist | 15224 Main St Ste 302, Mill Creek, WA 98012-7332 | 2019-01-03 |
| 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.