Individual provider Active NPI

Christopher Shyue, DDS

  • General Practice Dentistry
  • Long Beach, WA
National Provider Identifier
1245728674
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60861775 Issued in WA
Practice address
205 12TH St SE
Long Beach, WA 98631-2665
Phone
(360) 642-3751
Fax
(360) 642-7142
NPI assigned
May 1, 2018
Last updated
Jan 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 60861775 WA
General Practice Dentistry 1223G0001X 60861775 WA Primary

Addresses

Primary practice location

205 12TH St SE
Long Beach, WA 98631-2665

Mailing address

205 12TH St SE
Long Beach, WA 98631-2665
Phone (360) 642-3751

Other practice location 1

7719 Center Blvd SE
Snoqualmie, WA 98065-8930
Phone (425) 396-5555

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
I20181011000215 WA Order and Referring Only - DentistPractitioner - Dentist 4183976673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60861775WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shyue & Wu, DDS, PLLC General Practice CurrentSince Dec 27, 2020 Accepting new patients
Wu & Shyue, DDS, PLLC General Practice CurrentSince Feb 2, 2025 Accepting new patients
Susan K Robins, DDS, PS Dentist PastSince Jan 26, 2020 Accepting new patients

Locations

205 12th St SE
Long Beach, WA 98631
Phone (206) 617-1388

7719 Center Blvd SE
Snoqualmie, WA 98065
Phone (425) 396-5555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1245728674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 12TH ST SE",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986312665",
            "telephone_number": "360-642-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 12TH ST SE",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986312665",
            "telephone_number": "360-642-3751",
            "fax_number": "360-642-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7719 CENTER BLVD SE",
            "address_purpose": "LOCATION",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658930",
            "country_code": "US",
            "telephone_number": "425-396-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHYUE",
        "first_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60861775",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60861775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, WA

Sources for this page

Verify at the official NPI Registry.