DR. SOGOLE TABATABAIEPUR DDS
NPI 1407490469
Dentist in Seattle, WA

Active since November 03, 2019PECOS Enrolled
1660 S COLUMBIAN WAY, SEATTLE, WA 98108(206) 762-1010 Get Directions Write a Review

NPPES record last updated: November 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sogole Tabatabaiepur Dds NPPES

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

DR. SOGOLE TABATABAIEPUR DDS (NPI 1407490469) is an individual dentist in Seattle, Washington, licensed in Washington (DE60982395) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407490469
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SOGOLE TABATABAIEPURCredential: DDS
Location Address1660 S COLUMBIAN WAYSeattle, WA 98108-1532
Mailing Address5 Via PergolaRancho Palos Verdes, CA 90275-4883 · (310) 977-2516
Sole ProprietorNo
Enumeration DateNovember 3, 2019
✔ NPI 1407490469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE60982395
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.
1660 S COLUMBIAN WAY, Seattle, WA 98108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sogole Tabatabaiepur Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Sogole Tabatabaiepur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
210 HOSPITAL DR
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98108 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 20

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

Radiology (Diagnostic Radiology)
1660 S COLUMBIAN WAY, DIAGNOSTIC IMAGING, S-RAD-114
SEATTLE, WA 98108
Licensed Practical Nurse
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Psychologist
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Occupational Therapist (Human Factors)
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Social Worker (Clinical)
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Registered Nurse
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Radiology (Diagnostic Radiology)
1660 S COLUMBIAN WAY, DEPT. RADIOLOGY S-113, PSVAHCS
SEATTLE, WA 98108
Clinical Nurse Specialist
1660 S COLUMBIAN WAY, #128
SEATTLE, WA 98108

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 Sogole Tabatabaiepur's NPI number?

The NPI number for Sogole Tabatabaiepur is 1407490469. It was assigned to this individual provider in the NPPES registry on November 3, 2019.

Where is Sogole Tabatabaiepur located?

Sogole Tabatabaiepur practices at 1660 S Columbian Way, Seattle, WA 98108. The listed phone number is (206) 762-1010.

What is Sogole Tabatabaiepur's specialty?

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

Is Sogole Tabatabaiepur enrolled in Medicare?

Yes. Sogole Tabatabaiepur is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sogole Tabatabaiepur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sogole Tabatabaiepur reassigns Medicare benefits to La Clinica De La Raza Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sogole Tabatabaiepur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sogole Tabatabaiepur accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Sogole Tabatabaiepur 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 Sogole Tabatabaiepur was last updated on November 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.