Active NPI
Joannie Chu Au-Yeung, DMD
- General Practice Dentistry
- Issaquah, WA
National Provider Identifier
1225077761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60477421
- Practice address
- 6415 E. Lake Sammamish Pkwy SE
Suite 100
Issaquah, WA 98029 - Phone
- (425) 392-4222
- Fax
- (425) 391-3655
- NPI assigned
- Jun 6, 2006
- Last updated
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52594 | CA | |
| General Practice Dentistry | 1223G0001X | DE60477421 | WA | Primary |
Addresses
Primary practice location
6415 E. Lake Sammamish Pkwy SE
Suite 100
Issaquah, WA 98029
Mailing address
6415 E. Lake Sammamish Pkwy SE
Suite 100
Issaquah, WA 98029
Phone (425) 392-4222
Other names 1
- Joannie Chu
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60477421 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dongho Kim DDS PLLC | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Issaquah, WA
- NPI 1255867867
-
- General Practice Dentistry
- Issaquah, WA
- NPI 1033089248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1225077761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 E. LAKE SAMMAMISH PKWY SE",
"address_2": "SUITE 100",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98029",
"telephone_number": "425-392-4222",
"fax_number": "425-391-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 E. LAKE SAMMAMISH PKWY SE",
"address_2": "SUITE 100",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98029",
"telephone_number": "425-392-4222",
"fax_number": "425-391-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AU-YEUNG",
"first_name": "JOANNIE",
"middle_name": "CHU",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52594",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60477421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNIE",
"last_name": "CHU",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.