Individual provider Active NPI

Eric Tenpo Tsen, DMD

  • Dentist
  • Bothell, WA
National Provider Identifier
1235217704
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00007678 Issued in WA
Practice address
24032 Bothell Everett Hwy Unit 100
Bothell, WA 98021-9364
Phone
(425) 354-4780
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00007678 WA Primary

Addresses

Primary practice location

24032 Bothell Everett Hwy Unit 100
Bothell, WA 98021-9364

Mailing address

24032 Bothell Everett Hwy Unit 100
Bothell, WA 98021-9364
Phone (425) 354-4780

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
I20160412000591 WA Order and Referring Only - DentistPractitioner - Dentist 2365740164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1235217704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24032 BOTHELL EVERETT HWY UNIT 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219364",
            "telephone_number": "425-354-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24032 BOTHELL EVERETT HWY UNIT 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219364",
            "telephone_number": "425-354-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEN",
        "first_name": "ERIC",
        "middle_name": "TENPO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00007678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.