MICHELLE EMILY MODAD
NPI 1982100475
Dentist - Dentist Anesthesiologist in Mercer Island, WA

Q: What is Michelle Modad's NPI number?

The NPI number for Michelle Modad is 1982100475. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Michelle Modad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Modad was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 03, 2018

3023 80TH AVE SE STE 200, MERCER ISLAND, WA 98040(206) 690-5417 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michelle Emily Modad NPPES

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

MICHELLE EMILY MODAD (NPI 1982100475) is an individual dentist anesthesiologist in Mercer Island, Washington, licensed in Washington (DE61149859) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1982100475

Entity TypeIndividualFemale

Primary Taxonomy1223D0004X

Provider Legal NameMICHELLE EMILY MODAD

Location Address3023 80TH AVE SE STE 200Mercer Island, WA 98040-6014

Mailing Address2519 13th Ave SSeattle, WA 98144-5008 · (573) 308-0333

Phone(206) 690-5417

Sole ProprietorYes

Enumeration DateApril 3, 2018

Last NPPES UpdateJuly 15, 2024

NPPES CertifiedJuly 15, 2024

✔ NPI 1982100475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

License✔ Licensed in WA · DE61149859

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

3023 80TH AVE SE STE 200, Mercer Island, WA 98040

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Other Providers at the Same Location NPPES 2

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

DR. MATTHEW THOMAS STREELMAN DDS, MD

Dentist (Oral and Maxillofacial Surgery)

3023 80TH AVE SE STE 200
MERCER ISLAND, WA 98040

King County (206) 690-5417

MATTHEW T STREELMAN DDS MD PLLC

Dentist (Oral and Maxillofacial Surgery)

3023 80TH AVE SE STE 200
MERCER ISLAND, WA 98040

King County (206) 690-5417

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 Michelle Modad's NPI number?

The NPI number for Michelle Modad is 1982100475. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Michelle Modad located?

Michelle Modad practices at 3023 80th Ave SE Ste 200, Mercer Island, WA 98040. The listed phone number is (206) 690-5417.

What is Michelle Modad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Michelle Modad was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.