Organization Active NPI

Patrick Kwong P.S.

  • General Practice Dentistry
  • Shelton, WA
National Provider Identifier
1073471710
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PATRICK KWONG P.S.
Practice address
428 W Birch St
Shelton, WA 98584-1735
Phone
(360) 426-2631
Fax
(360) 426-0483
NPI assigned
Jan 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Mr. Patrick Kwong, DDSNPI 1275669467
Title
Owner
Phone
(360) 426-2631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

428 W Birch St
Shelton, WA 98584-1735

Mailing address

PO Box 788
Shelton, WA 98584-0788
Phone (360) 426-2631

National Provider Directory

National Provider Directory
Tax ID family
Patrick Kwong PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

428 W Birch St
Shelton, WA 98584
Phone (360) 426-2631

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1073471710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985840788",
            "telephone_number": "360-426-2631",
            "fax_number": "360-426-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W BIRCH ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985841735",
            "telephone_number": "360-426-2631",
            "fax_number": "360-426-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK KWONG P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "KWONG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-426-2631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.