Individual provider Active NPI

Yongqian Huang, DDS, MSD

  • General Practice Dentistry
  • Tumwater, WA
National Provider Identifier
1083790588
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010011 Issued in WA
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

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4102HUOtherWAREGENCE BLUE SHIELD
5050349MedicaidWA
1002112MedicaidWA
0174705OtherWASTATE 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

LicenseStateTypeSpecialty
DE00010011WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.