Omni Award Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009158 Issued in WA

Legal business name

OMNI AWARD DENTAL

Practice address

302 Washington Ave S
Kent, WA 98032-5713

Phone

(206) 854-2187

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By 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

Hugh Leung, D.M.D.

Title

Dentist

Phone

(206) 854-2187

Specialties & licenses 1

Addresses

Other names 1

• Award Dental I Former legal business name

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1063748549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E WARD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304537",
            "telephone_number": "206-854-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325713",
            "telephone_number": "206-854-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI AWARD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-854-2187",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Award Dental I",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in Kent, WA
• Providers in Kent, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.