Hope Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOPE DENTAL, LLC

Practice address

4713 168TH St SW Unit 102
Lynnwood, WA 98037-6813

Phone

(425) 954-8899

NPI assigned

Jul 9, 2020

Last updated

Jul 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyungsik Moon, DMDNPI 1730569856

Title

Dentist

Phone

(216) 762-6289

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyungsik Moon

  • General Practice Dentistry
  • Bedford, OH
  • NPI 1730569856
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1114545886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 JUANITA WOODINVILLE WAY NE UNIT K203",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980116104",
            "telephone_number": "216-762-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 168TH ST SW UNIT 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980376813",
            "telephone_number": "425-954-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "KYUNGSIK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "216-762-6289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Marro Homes, LMHC
• Homewell Senior Care, Inc.
• Donald Khang Hon
• Danielle Florence Honanie, CO60690975
• Michaela Hoover
• Katrina Suzanne Hopkins, LMP
• Chisato Horikawa
• Anne Louise Horman, OTR/L
• Max Horowitz, PHARMD
• Sindea Horste, CD

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.