Organization Active NPI

Smile Dr. Family & Cosmetic Dentistry

  • Dentist
  • Lakewood, WA
National Provider Identifier
1144435942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE DR. FAMILY & COSMETIC DENTISTRY
Practice address
8811 S Tacoma Way Ste 103
Lakewood, WA 98499-4595
Phone
(253) 983-9090
Fax
(253) 983-1225
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Helen M Jang, D.D.S.
Title
Owner
Phone
(253) 983-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8811 S Tacoma Way Ste 103
Lakewood, WA 98499-4595

Mailing address

8811 S Tacoma Way Ste 103
Lakewood, WA 98499-4595
Phone (253) 983-9090

Other names 1

  • Smile Dr. Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8811 South Tacoma Way
Ste 103
Lakewood, WA 98499
Phone (253) 983-9090

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144435942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 103",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-983-9090",
            "fax_number": "253-983-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 103",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-983-9090",
            "fax_number": "253-983-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DR. FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-983-9090",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dr. Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.