Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ebrahim Mirjalili, DDS

General Practice Dentistry in Buckley, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679650576

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Registry record

Entity type Individual (Type 1)

Name Ebrahim Mirjalili

Credential DDS

Sex Male

Practice address 2120 Ryan Rd, Buckley, WA, 98321

Phone (360) 829-4920

Enumeration date Nov 1, 2006

Last updated in NPPES Jul 30, 2018

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License DE00007824 (WA) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
5025234	Medicaid	WA	-
0175785	Other	WA	STATE LABOR & INDUSTRIES
MI9110	Other	WA	REGENCE BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Ebrahim Mirjalili?

The National Provider Identifier (NPI) for Ebrahim Mirjalili is 1679650576, a Type 1 (individual) record in the CMS NPPES registry.

Where does Ebrahim Mirjalili practice?

The practice location on file with NPPES is in Buckley, WA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Washington State Department of Social and Health Services Long Term Care Pharmacy · Buckley, WA NPI 1740355320 Adam Tabet Psychiatry Physician · Buckley, WA NPI 1124160148 Sherri Barrett Physical Medicine & Rehabilitation Physician · Buckley, WA NPI 1528197340 James Raugust General Practice Dentistry · Buckley, WA NPI 1710017736 Rainier State School Intellectual Disabilities Intermediate Care Facility · Buckley, WA NPI 1164547626 Jimmy Chubbuck Family Medicine Physician · Buckley, WA NPI 1285857136 Allen Ries Internal Medicine Physician · Buckley, WA NPI 1669645206 Deidre Mance Family Nurse Practitioner · Buckley, WA NPI 1205434701

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-30.