Active NPI
Yongqian Huang, DDS, MSD
- General Practice Dentistry
- Tumwater, WA
National Provider Identifier
1083790588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00010011
- Practice address
- 409 Custer Way SE
Suite C
Tumwater, WA 98501-3350 - Phone
- (360) 570-8016
- Fax
- (360) 570-8275
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00010011 | WA | |
| General Practice Dentistry | 1223G0001X | DE00010011 | WA | Primary |
Addresses
Primary practice location
409 Custer Way SE
Suite C
Tumwater, WA 98501-3350
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-0112
Other practice location 1
6004 Capitol Blvd SE Fl 1
Tumwater, WA 98501-8520
Phone (360) 522-9070
Other practice location 2
1920 100th St SE Ste C2
Everett, WA 98208-3832
Phone (425) 249-0770
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4102HU | Other | WA | REGENCE BLUE SHIELD |
| 5050349 | Medicaid | WA | |
| 1002112 | Medicaid | WA | |
| 0174705 | Other | WA | STATE LABOR & INDUSTRIES |
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 |
|---|---|---|---|
| DE00010011 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Dentist | Past | Accepting new patients |
Interoperability endpoints
- yhuang452734@direct.multicare.org
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1477911410
Dentist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1083790588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "206-764-0112",
"fax_number": "206-764-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 CUSTER WAY SE",
"address_2": "SUITE C",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985013350",
"telephone_number": "360-570-8016",
"fax_number": "360-570-8275"
}
],
"practiceLocations": [
{
"address_1": "6004 Capitol Blvd SE Fl 1",
"address_purpose": "LOCATION",
"city": "Tumwater",
"state": "WA",
"postal_code": "985018520",
"country_code": "US",
"telephone_number": "360-522-9070",
"fax_number": "360-522-9077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 100th St SE Ste C2",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982083832",
"country_code": "US",
"telephone_number": "425-249-0770",
"fax_number": "425-249-0771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUANG",
"first_name": "YONGQIAN",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00010011",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00010011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "4102HU",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5050349",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002112",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LABOR & INDUSTRIES",
"identifier": "0174705",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.