NPIMap

Organization Active NPI

Hillcrest Dental

  • Dental Clinic/Center
  • Renton, WA
National Provider Identifier
1134572605
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE8518 Issued in WA
Legal business name
HILLCREST DENTAL
Practice address
4575 NE 4TH St
Suite #5
Renton, WA 98059-5054
Phone
(425) 793-5814
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Dr. Kevin Le, DDSNPI 1194748889
Title
Doctor/Owner
Phone
(425) 793-5814

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
Dental Clinic/Center 261QD0000X DE8518 WA Primary

Addresses

Primary practice location

4575 NE 4TH St
Suite #5
Renton, WA 98059-5054

Mailing address

4575 NE 4TH St
Suite #5
Renton, WA 98059-5054
Phone (425) 793-5814

National Provider Directory

National Provider Directory

Locations

4575 NE 4th St
Ste 5
Renton, WA 98059
Phone (425) 793-5814

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": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1134572605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 NE 4TH ST",
            "address_2": "SUITE #5",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595054",
            "telephone_number": "425-793-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 NE 4TH ST",
            "address_2": "SUITE #5",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595054",
            "telephone_number": "425-793-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "425-793-5814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE8518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.