DR. ERIC DEROVANESSIAN (NPI# 1831537224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831537224 |
| Entity Type | Individual |
| Full Name | DR. ERIC DEROVANESSIAN |
| Credential | D.D.S |
| Practice Address |
15710 Ne 24th St Suite B Bellevue WA 98008-2444 |
| Practice Telephone | 4256446802 |
| Practice Fax Number | 4256441426 |
| Mailing Telephone | 4256446802 |
| Mailing Fax Number | 4256441426 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 39144 | CA | Dental Providers |
| Y | 122300000X | Dentist | 7600 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5034913 | 05 |
| Street Address |
15710 NE 24TH ST SUITE B |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98008-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710094412 | Sydney Ann Walters | Dentist | 15710 Ne 24th St, Ste D, Bellevue, WA 98008 | 2006-08-25 |
| 1760756837 | Lyudmila Ignatyev | Dentist | 15710 Ne 24th St, Suite A, Bellevue, WA 98008-2444 | 2012-03-06 |
| 1447568571 | Vaughn Vilayvanh Wu | Acupuncturist | 15710 Ne 24th St, Suite E, Bellevue, WA 98008-2444 | 2010-09-23 |
| 1548497787 | Amr Bokhari | Dentist | 15710 Ne 24th St, Ste A, Bellevue, WA 98008-2444 | 2009-06-15 |
| 1679612451 | Zhuan Ying Chen | Acupuncturist | 15710 Ne 24th St, Suite E, Bellevue, WA 98008-2444 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528540416 | Rodica Belindean | Nurse's Aide | 3022 167th Ave Ne, Bellevue, WA 98008 | 2018-09-06 |
| 1831600030 | Daily Nutrition for Life LLC | Nutritionist | 15600 Ne 8th St Ste B1-707, Bellevue, WA 98008 | 2017-10-16 |
| 1871003913 | Sara Ann Glatz | Massage Therapist | 51 157th Ave Se, Bellevue, WA 98008 | 2017-10-03 |
| 1336555630 | Elizabeth Cheri Anne Smith | Dentist | 1223 158th Ave Se, Bellevue, WA 98008 | 2014-07-08 |
| 1407269731 | Akiko Kinney | Counselor | 16301 Ne 8th St., Bellevue, WA 98008 | 2014-06-04 |
| 1184042996 | Sara Francine York | Counselor | 16301 Ne 8th St. Ste 150, Puget Sound Child and Family Therapy, Bellevue, WA 98008 | 2014-03-31 |
| 1861819906 | Kimberly Song Truong | Acupuncturist | 15650 Ne 24th Street, Suite C1, Bellevue, WA 98008 | 2014-03-26 |
| 1336414614 | Alison Butler | Massage Therapist | 50 157th Ave Se, Bellevue, WA 98008 | 2012-03-20 |
| 1184998593 | Zynergy Chiropractic | Chiropractor | 15616 Bel-red Rd, Bellevue, WA 98008 | 2012-03-02 |
| 1043516149 | Ricardo Fernandez | Massage Therapist | 16301 Ne8th St Suite280, Bellevue, WA 98008 | 2011-02-07 |
| Find all providers in zip 98008 | ||||
| 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 |
|---|---|---|---|---|
| 1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
| 1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
| 1821609710 | Chaeli Ford | Dentist | 3672 Lexington Ave, Bellevue, NE 68123-1321 | 2020-08-13 |
| 1154949097 | Karanjot Singh Bath | Dentist | 15938 Ne 15th St, Bellevue, WA 98008-2707 | 2020-07-08 |
| 1457902595 | Washington Dental Corporation, PC | Dentist | 2235 148th Ave Ne, Bellevue, WA 98007-3726 | 2019-09-20 |
| 1053892406 | Frank Charles Hokhold | Dentist | 123 112th Ave Ne Apt 442, Bellevue, WA 98004-6497 | 2018-08-23 |
| 1902312168 | Priyanka Sharma | Dentist | 10500 Ne 8th St Ste 208, Bellevue, WA 98004-4351 | 2017-12-22 |
| 1235644899 | Kwang Jin Hahn | Dentist | 14215 Se 44th St, Bellevue, WA 98006-2335 | 2017-12-05 |
| 1710402235 | Jun Eon Weaver | Dentist | 700 140th Ave Se, Bellevue, WA 98005-3726 | 2017-08-04 |
| 1801324389 | Kelsey M Sasse | Dentist | 3615 Summit Plaza Dr Ste 101, Bellevue, NE 68123-1088 | 2017-05-30 |
| Find all providers in BELLEVUE | ||||
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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.