DR. ROOZBEH KHOSRAVI DMD, PHD
NPI 1629433891
Dentist - Orthodontics and Dentofacial Orthopedics in Sammamish, WA

Active since December 15, 2015
22620 SE 4TH ST STE 210, SAMMAMISH, WA 98074(425) 526-2060 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Oct 23, 2020, Aug 13, 2017 and 2 more (5 updates tracked since 2015).

About Dr. Roozbeh Khosravi Dmd, Phd NPPES

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

DR. ROOZBEH KHOSRAVI DMD, PHD (NPI 1629433891) is an individual orthodontics and dentofacial orthopedics provider in Sammamish, Washington, licensed in Washington (DE60504324) and active in the NPI registry since December 2015. He maintains a secondary practice location in Bellevue.

NPPES Registry Identity

NPI1629433891
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ROOZBEH KHOSRAVICredential: DMD, PHD
Location Address22620 SE 4TH ST STE 210Sammamish, WA 98074-7375
Mailing Address22620 Se 4th St Ste 210Sammamish, WA 98074-7375 · (425) 526-2060
Sole ProprietorNo
Enumeration DateDecember 15, 2015
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
NPI 1629433891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WA · DE60504324
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
22620 SE 4TH ST STE 210, Sammamish, WA 98074

Secondary Practice Location 1

Location 114655 NE Bel Red Rd # F103Bellevue, WA 98007-3900 · Phone (425) 526-2060

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
22620 SE 4TH ST STE 210
SAMMAMISH, WA 98074

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 Roozbeh Khosravi's NPI number?

The NPI number for Roozbeh Khosravi is 1629433891. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Roozbeh Khosravi located?

Roozbeh Khosravi practices at 22620 SE 4th St Ste 210, Sammamish, WA 98074. The listed phone number is (425) 526-2060.

What is Roozbeh Khosravi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Roozbeh Khosravi accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Roozbeh Khosravi 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 Roozbeh Khosravi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.