DR. KAM DERAKSHANI DDS
NPI 1104849900
Dentist - General Practice in Bellevue, WA

Q: What is Kam Derakshani's NPI number?

The NPI number for Kam Derakshani is 1104849900. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Kam Derakshani's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kam Derakshani was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since July 25, 2006

1551 116TH AVE. NE, #B-1, BELLEVUE, WA 98004(425) 373-1605 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Kam Derakshani Dds NPPES

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

DR. KAM DERAKSHANI DDS (NPI 1104849900) is an individual general practice provider in Bellevue, Washington, licensed in Washington (DE7712) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104849900

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KAM DERAKSHANICredential: DDS

Location Address1551 116TH AVE. NE, #B-1Bellevue, WA 98004

Mailing Address1551 116th Ave Ne Ste B1Bellevue, WA 98004-3814 · (425) 373-1605

Phone(425) 373-1605

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateApril 15, 2009

✔ NPI 1104849900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE7712

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1551 116TH AVE. NE, Bellevue, WA 98004

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Other Identifiers 1

Medicare ID-Type Unspecified5028782WA

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 Kam Derakshani's NPI number?

The NPI number for Kam Derakshani is 1104849900. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Kam Derakshani located?

Kam Derakshani practices at 1551 116th Ave. NE #b-1, Bellevue, WA 98004. The listed phone number is (425) 373-1605.

What is Kam Derakshani's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kam Derakshani was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.