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SHAHIN ETEMADI D.D.S., M.S.D.
NPI 1093790826
Dentist - Endodontics in Everett, WA

Active since December 14, 2005PECOS Enrolled
10025 19TH AVE SE, STE 202, EVERETT, WA 98208(425) 357-8747(425) 337-6190 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shahin Etemadi D.d.s., M.s.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHIN ETEMADI D.D.S., M.S.D. (NPI 1093790826) is an individual endodontics provider in Everett, Washington, licensed in Washington (DE00010167) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093790826
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameSHAHIN ETEMADICredential: D.D.S., M.S.D.
Location Address10025 19TH AVE SE, STE 202Everett, WA 98208-4275
Mailing Address10025 19th Ave Se Ste 202Everett, WA 98208-4275 · (425) 357-8747 · Fax (425) 337-6190
Phone(425) 357-8747
Fax(425) 337-6190
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1093790826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in WA · DE00010167
Definition
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.
10025 19TH AVE SE, Everett, WA 98208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shahin Etemadi D.d.s., M.s.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAO VICENTE BARONI BARBIZAM DDS, MSD
Dentist
10025 19TH AVE SE, SUITE 202
EVERETT, WA 98208
Snohomish County (425) 357-8747
MITTAL LLC
Clinic/Center (Dental)
10025 19TH AVE SE
EVERETT, WA 98208
Snohomish County (206) 747-4030
DR. ROBERT JAMES HUGHES D.D.S.
Dentist
10025 19TH AVE SE, SUITE 200
EVERETT, WA 98208
Snohomish County (425) 337-6885
LOREE BOLIN, DDS LLC
Clinic/Center (Dental)
10025 19TH AVE SE, SUITE 200
EVERETT, WA 98208
Snohomish County (425) 218-2887
HUGHES DENTAL GROUP
Dentist
10025 19TH AVE SE, SUITE 200
EVERETT, WA 98208
Snohomish County (425) 337-6885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahin Etemadi's NPI number?

The NPI number for Shahin Etemadi is 1093790826. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Shahin Etemadi located?

Shahin Etemadi practices at 10025 19th Ave SE Ste 202, Everett, WA 98208. The listed phone number is (425) 357-8747.

What is Shahin Etemadi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Shahin Etemadi enrolled in Medicare?

Yes. Shahin Etemadi is registered in the Medicare PECOS enrollment system.

What insurance does Shahin Etemadi accept?

Health plans from Humana and Premera Blue Cross Blue Shield of Alaska list Shahin Etemadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shahin Etemadi was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.