NORTHGATE ENDODONTICS (NPI# 1902259468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902259468 |
| Entity Type | Organization |
| Organization Name | NORTHGATE ENDODONTICS |
| Practice Address |
11011 Meridian Ave N Suite 309 Seattle WA 98133-8967 |
| Practice Telephone | 2063675500 |
| Practice Fax Number | 2063675501 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | DR. SHAHRZAD SARRAM (ENDODONTIST) |
| Authorized Official Telephone | 2063675500 |
| Authorized Official Credential | D.D.S., M.S.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6882 | WA | Dental Providers |
| Street Address |
11011 MERIDIAN AVE N SUITE 309 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669449062 | Thomas King | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2006-03-03 |
| 1538601927 | Elizabeth Marie Storch Goldberg | Nurse Practitioner | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2016-11-16 |
| 1134509995 | The Polyclinic | Allergy & Immunology | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2015-06-05 |
| 1063751527 | North Seattle Orthodontics Ps | Dentist | 11011 Meridian Ave N, Ste. 304, Seattle, WA 98133-8967 | 2013-02-04 |
| 1063787448 | Laura Bovee | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2012-03-19 |
| 1518287705 | Kimberly Vanderzee | Family Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2010-06-10 |
| 1649429044 | Hong Li | Dentist | 11011 Meridian Ave N, Ste. 104, Seattle, WA 98133-8967 | 2008-09-10 |
| 1861672255 | Patricia Ann Koning | Dentist | 11011 Meridian Ave N, 104, Seattle, WA 98133-8967 | 2007-11-14 |
| 1972701910 | Diana Cristea | Dentist | 11011 Meridian Ave N, Suite #104, Seattle, WA 98133-8967 | 2007-07-10 |
| 1417163635 | Reichel Dermatology Associates, Pllc | Clinic/Center | 11011 Meridian Ave N, Suite 102, Seattle, WA 98133-8967 | 2007-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881077907 | David Jungjoo Kang | Dentist | 509 Olive Way Ste 1633, Seattle, WA 98101-1770 | 2015-07-07 |
| 1215356639 | Callie M Smithson | Dentist | 2743 California Ave Sw Unit 200, Seattle, WA 98116-2495 | 2014-04-14 |
| 1881977346 | Victor K Marfo | Dentist | 10101 8th Ave S Apt L118, Seattle, WA 98168-5521 | 2011-09-21 |
| 1770819245 | Carina L Lea | Dentist | 701 N 34th St Ste 210, Seattle, WA 98103-3414 | 2009-10-19 |
| 1295901734 | Don Henry Pratten | Dentist | 5016 California Ave Sw, #101, Seattle, WA 98136-1232 | 2008-05-05 |
| 1417167156 | Theodore F Pilot | Dentist | 1229 Madison St Ste 1140, Seattle, WA 98104-3587 | 2007-05-23 |
| 1720100290 | Matthew Arthur Mandel | Dentist | 4341 Roosevelt Way Ne, Seattle, WA 98105-4717 | 2007-04-04 |
| 1144349119 | Mark Earl Germack | Dentist | 720 Olive Way Ste 835, Seattle, WA 98101-1853 | 2007-03-28 |
| 1013094390 | Lynnetta Jeanne Odell | Dentist | 509 Olive Way Ste 1511, Seattle, WA 98101-1749 | 2006-11-01 |
| 1881704427 | Rachelle S Hecht | Dentist | 5016 California Ave Sw # 101, Seattle, WA 98136-1232 | 2006-08-30 |
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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.