Active NPI
Minsun James Song, DDS, PLLC.
- Dental Clinic/Center
- Tacoma, WA
National Provider Identifier
1265343271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MINSUN JAMES SONG, DDS, PLLC.
- Practice address
- 4125 49TH Ave NE Ste D
Tacoma, WA 98422-2423 - Phone
- (253) 952-2200
- Fax
- (253) 944-9067
- NPI assigned
- Sep 16, 2026
- Last updated
- Sep 16, 2026
- Organization subpart
- Yes
- Parent organization
- MINSUN JAMES SONG, DDS, PLLC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Song
- Title
- Owner
- Phone
- (253) 474-9509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4125 49TH Ave NE Ste D
Tacoma, WA 98422-2423
Mailing address
4125 49TH Ave NE Ste D
Tacoma, WA 98422-2423
Phone (253) 952-2200
National Provider Directory
National Provider Directory- Tax ID family
- Minsun James Song DDS PLLC
- Part of
- Minsun James Song DDS PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Tacoma, WA
- NPI 1801762208
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dental Clinic/Center
- Tacoma, WA
- NPI 1801762208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1265343271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4125 49TH AVE NE STE D",
"city": "TACOMA",
"state": "WA",
"postal_code": "984222423",
"telephone_number": "253-952-2200",
"fax_number": "253-944-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 49TH AVE NE STE D",
"city": "TACOMA",
"state": "WA",
"postal_code": "984222423",
"telephone_number": "253-952-2200",
"fax_number": "253-944-9067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINSUN JAMES SONG, DDS, PLLC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MINSUN JAMES SONG, DDS, PLLC.",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-474-9509",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.