Doctor profile · Federal record

Dr. Kam Derakshani, DDS

General Practice Dentistry · Bellevue, WA

  • NPI 1104849900
  • 20 yrs on file
  • Male
  • Group practice
  • Sanctions on record

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1551 116Th Ave. Ne, #B-1
Bellevue, WA 98004
(425) 373-1605
Mailing address
1551 116Th Ave Ne Ste B1
Bellevue, WA 980043814

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
April 15, 2009
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Washington #DE7712

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

1 exclusion record on file

Always verify with the official OIG LEIE.
  • 1128a2 — excluded Oct 20, 2015 / reinstated Nov 30, -0001

Open Payments

Industry payments received

CMS Open Payments
All-time total
$224
Transactions
4
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Align Technology, Inc. 4 $224.25

By nature of payment

Food and Beverage
$224

Frequently asked questions

Auto-generated from federal data
What is Dr. Kam Derakshani's medical specialty?
Dr. Kam Derakshani practices General Practice Dentistry in Bellevue, WA.
Where does Dr. Kam Derakshani practice?
Dr. Kam Derakshani practices at 1551 116Th Ave. Ne, Bellevue, WA 98004. Office phone: 4253731605.
What is Dr. Kam Derakshani's NPI?
Dr. Kam Derakshani's National Provider Identifier (NPI) is 1104849900, issued by NPPES.