Cindy On, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010124 Issued in WA

Practice address

11066 5TH Ave NE
Suite 108
Seattle, WA 98125-6156

Phone

(206) 234-4179

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wong Hsu on Su & Liao DDS PLLC

  dba Renton Dental Professionals

  • General Practice Dentistry
  • Renton, WA
  • NPI 1558768739
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1114080306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 160TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065626",
            "telephone_number": "206-234-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11066 5TH AVE NE",
            "address_2": "SUITE 108",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256156",
            "telephone_number": "206-234-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ON",
        "first_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gal Omry Orbach, M.D.
• Emily Miyuki Omura, M.D.
• Jaclyn Christine Omura, M.D
• Travis Allen Omura
• On Site Dermatology of Washington PLLC
• Michelle Nooryi On, DPT
• Natalia Isabelle Oncina, LMHC
• Vanessa Lynn Ondo, ARNP
• Christine V Ondro, PHARM.D.
• One Medical Group of Washington, P.C. (One Medical Group)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.