Individual provider Active NPI

Su-Fang Tseng, DDS

  • General Practice Dentistry
  • Monroe, WA
National Provider Identifier
1184754178
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009536 Issued in WA
Practice address
17707 W Main St
Monroe, WA 98272-1967
Phone
(360) 282-3900
Fax
(360) 282-3907
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009536 WA Primary
Dentist 122300000X DE00009536 WA

Addresses

Primary practice location

17707 W Main St
Monroe, WA 98272-1967

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice location 1

1920 100th St SE Ste C2
Everett, WA 98208-3832
Phone (425) 249-0770

Other practice location 2

1813 Sumner Ave
Aberdeen, WA 98520-4600
Phone (360) 538-1293

Other identifiers 1

IdentifierTypeStateIssuer
2022100MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00009536WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Dentist CurrentSince Apr 13, 2025 Accepting new patients
Sea Mar Community Health Centers Dentist PastSince Feb 2, 2025 Accepting new patients

Locations

17707 W Main St
Monroe, WA 98272
Phone (360) 282-3885

Interoperability endpoints

  • Direct secure messaging: stseng452880@direct.multicare.org

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1184754178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17707 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721967",
            "telephone_number": "360-282-3900",
            "fax_number": "360-282-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 100th St SE Ste C2",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982083832",
            "country_code": "US",
            "telephone_number": "425-249-0770",
            "fax_number": "425-249-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1813 Sumner Ave",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "985204600",
            "country_code": "US",
            "telephone_number": "360-538-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSENG",
        "first_name": "SU-FANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009536",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022100",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.