Bansuk Ju DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BANSUK JU DDS PLLC

Practice address

2302 S Union Ave Ste A6
Tacoma, WA 98405-1332

Phone

(253) 752-4422

NPI assigned

Dec 11, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bansuk Ju, DDSNPI 1669993226

Title

Owner

Phone

(213) 309-1305

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bansuk Ju, DDS

  • Dentist
  • Tumwater, WA
  • NPI 1669993226
  NPD Authorized official
• Alan F Altman, DDS, PC

  • Dentist
  • Tacoma, WA
  • NPI 1154328300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1023604261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SW 330TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980236432",
            "telephone_number": "213-309-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE A6",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051332",
            "telephone_number": "253-752-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANSUK JU DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "JU",
        "authorized_official_first_name": "BANSUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-309-1305",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Louise Banks, RN RNPA
• Eric Banks
• Lanaeya Banks
• Margaret Irene Banks, PT
• Michael Bankston
• Shnya Maria Banton-Brown
• Theresa Gwen Banzet
• Baobab Psychology LLC
• Althea Maryann Baptiste-Owusu, RN
• Kelli Anne Barabba, LMP

• Dental Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.