Individual provider Active NPI

Chung Hao Tsen, D.M.D.

  • Dentist
  • Bothell, WA
National Provider Identifier
1144537820
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60487965 Issued in WA
Practice address
10414 Beardslee Blvd Ste 200
Bothell, WA 98011-3205
Phone
(425) 424-6350
NPI assigned
Sep 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60487965 WA Primary
General Practice Dentistry 1223G0001X DE60487965 WA

Addresses

Primary practice location

10414 Beardslee Blvd Ste 200
Bothell, WA 98011-3205

Mailing address

9421 N Davies Rd
Lake Stevens, WA 98258-9444
Phone (425) 334-2900

Other practice location 1

9421 N Davies Rd
Lake Stevens, WA 98258-9444
Phone (425) 879-5248

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctsen20252@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160321001400 WA Order and Referring Only - DentistPractitioner - Dentist 3678870599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60487965WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Past Accepting new patients
Lakeview Dental Clinic Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chung.tsen.p3@direct.hpc.nextgenshare.com

Organizations & group practices 2

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1144537820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 N DAVIES RD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589444",
            "telephone_number": "425-334-2900",
            "fax_number": "425-334-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 BEARDSLEE BLVD STE 200",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113205",
            "telephone_number": "425-424-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9421 N Davies Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "982589444",
            "country_code": "US",
            "telephone_number": "425-879-5248",
            "fax_number": "425-334-6958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSEN",
        "first_name": "CHUNG",
        "middle_name": "HAO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60487965",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60487965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctsen20252@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "10414 Beardslee Blvd Ste 200",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.