Active NPI
Steve K Hwang, D.D.S.
- General Practice Dentistry
- Bothell, WA
National Provider Identifier
1063593606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9254
- Practice address
- 17917 Bothell Everett Hwy Ste 305
Bothell, WA 98012-6379 - Phone
- (425) 481-1038
- Fax
- (425) 483-3158
- NPI assigned
- Oct 18, 2006
- Last updated
- Sep 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9254 | WA | Primary |
Addresses
Primary practice location
17917 Bothell Everett Hwy Ste 305
Bothell, WA 98012-6379
Mailing address
3218 NE 12TH St
Suite B
Renton, WA 98056-3431
Phone (425) 430-2029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9254 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hwang Choi PLLC | Current | Accepting new patients | |
| Steve Hwang DDS PLLS | Past | Accepting new patients |
Locations
17917 Bothell Everett Hwy
Ste 305
Bothell, WA 98012
Phone (425) 481-1038
Networks
- WA PPO C-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1063593606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3218 NE 12TH ST",
"address_2": "SUITE B",
"city": "RENTON",
"state": "WA",
"postal_code": "980563431",
"telephone_number": "425-430-2029",
"fax_number": "425-430-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17917 BOTHELL EVERETT HWY STE 305",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126379",
"telephone_number": "425-481-1038",
"fax_number": "425-483-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "STEVE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "9254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.