South Rainier Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE10287 Issued in WA

Legal business name

SOUTH RAINIER DENTISTRY, PLLC

Doing business as

south rainier dentistry

Practice address

8730 Rainier Ave S
Seattle, WA 98118-4927

Phone

(206) 721-8730

Fax

(206) 721-5947

NPI assigned

May 24, 2011

Last updated

May 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dat Khoa Nguyen, DDSNPI 1619980158

Title

Member, Manager

Phone

(206) 721-8730

Specialties & licenses 2

Addresses

Other names 1

• south rainier dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dat Khoa Nguyen, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1619980158
  NPD (past) Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1043503071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184927",
            "telephone_number": "206-721-8730",
            "fax_number": "206-721-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184927",
            "telephone_number": "206-721-8730",
            "fax_number": "206-721-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RAINIER DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "KHOA",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "206-721-8730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE10306",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE10287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "south rainier dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Sourelos, SLP
• Parham Souri
• Manuela M Sousa, M.D.
• Karen Jane Souter
• Michael James Souter
• South Seattle Dental
• South Seattle Therapy, PLLC
• South Sound Inpatient Physicians PLLC (Sound Inpatient Physicians)
• South Sound Laser Services LLC
• Allen Gregg South, M.D.

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.