DR. ALIREZA SADRE-NASSIRI D.M.D. NPI 1740544303

NPI Information

  • NPI: 1740544303
  • Provider Name: DR. ALIREZA SADRE-NASSIRI, D.M.D.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6003 100TH ST SW
    LAKEWOOD, WA
    ZIP 98499
  • Phone: (425) 466-0595

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NPI Details

DR. Alireza Sadre-nassiri, D.M.D. is a pediatric dentistry dentist in Lakewood, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Alireza Sadre-nassiri, D.M.D. NPI is 1740544303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6003 100TH ST SW
LAKEWOOD, WA
ZIP 98499-733
Phone: (425) 466-0595

The NPI 1740544303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/28/2012 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist056780NEW YORKNo
21223P0221XDentistPediatric Dentistry056780NEW YORKNo
31223P0221XDentistPediatric Dentistry109541CALIFORNIAYes
4122300000XDentist60737991WASHINGTONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11223G0001XMEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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