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: July 19, 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
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

Accepted 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.

Dentist
10025 19TH AVE SE, SUITE 200
EVERETT, WA 98208
Dentist
10025 19TH AVE SE, SUITE 202
EVERETT, WA 98208
Clinic/Center (Dental)
10025 19TH AVE SE, SUITE 200
EVERETT, WA 98208
Dentist
10025 19TH AVE SE, SUITE 200
EVERETT, WA 98208
Clinic/Center (Dental)
10025 19TH AVE SE
EVERETT, WA 98208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093790826, enumerated as an "individual" on December 14, 2005.

The provider is located at 10025 19TH AVE SE STE 202 EVERETT, WA 98208 and the phone number is (425) 357-8747.

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

The provider might be accepting Accepts: Humana and Premera Blue Cross Blue Shield of. Please consult your insurance carrier or call the provider to verify.