AHMED BASHIR RADDAD
NPI 1134747603
Dentist in Connell, WA

Q: What is Ahmed Raddad's NPI number?

The NPI number for Ahmed Raddad is 1134747603. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Q: What is Ahmed Raddad's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ahmed Raddad was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since July 10, 2020PECOS Enrolled

1051 COLUMBIA AVE, CONNELL, WA 99326(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Sep 19, 2024, Jul 10, 2020 (3 updates tracked since 2020).

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About Ahmed Bashir Raddad NPPES

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

AHMED BASHIR RADDAD (NPI 1134747603) is an individual dentist in Connell, Washington, licensed in Washington (DE61188502) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1134747603

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameAHMED BASHIR RADDAD

Location Address1051 COLUMBIA AVEConnell, WA 99326-8702

Mailing Address1515 E Columbia StOthello, WA 99344-1846 · (509) 488-5256

Phone(509) 488-5256

Fax(509) 488-9939

Sole ProprietorNo

Enumeration DateJuly 10, 2020

Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1134747603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61188502

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1051 COLUMBIA AVE, Connell, WA 99326

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Secondary Practice Location 1

Location 1100 E Newton St # 707ABoston, MA 02118-3552 · Phone (617) 358-8360

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Ahmed Bashir Raddad 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 99326 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 6

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

TAMARA J CAMPBELL ARNP

Nurse Practitioner (Psychiatric/Mental Health)