Active NPI
Nick Yeung, DDS
- Dentist
- Lynnwood, WA
National Provider Identifier
1063895290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60570457
- Practice address
- 1418 164TH St SW Ste 100
Lynnwood, WA 98087-8500 - Phone
- (425) 742-8828
- NPI assigned
- Jul 7, 2015
- Last updated
- Jul 22, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 60570457 | WA | Primary |
Addresses
Primary practice location
1418 164TH St SW Ste 100
Lynnwood, WA 98087-8500
Mailing address
1302 186TH St SE
Bothell, WA 98012-6845
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 |
|---|---|---|---|
| 60570457 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ekapoj Thongin, DMD, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba 8 to 8 Dental Lynnwood
- General Practice Dentistry
- Lynnwood, WA
- NPI 1578792016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1063895290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 186TH ST SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980126845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 164TH ST SW STE 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980878500",
"telephone_number": "425-742-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEUNG",
"first_name": "NICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "60570457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.