Sunset Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

DE 00006854 Issued in WA

Legal business name

SUNSET DENTAL CENTER

Practice address

1314 Union Ave NE
Suite 8
Renton, WA 98059-3959

Phone

(425) 227-9774

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Homayoon Fotovatjah, D.D.SNPI 1730315375

Title

Owner

Phone

(425) 227-9774

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Homayoon Fotovatjah, DDS

  • General Practice Dentistry
  • Renton, WA
  • NPI 1730315375
  NPD (past) Authorized official

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1316265002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 UNION AVE NE",
            "address_2": "SUITE 8",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593959",
            "telephone_number": "425-227-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 UNION AVE NE",
            "address_2": "SUITE 8",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593959",
            "telephone_number": "425-227-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "FOTOVATJAH",
        "authorized_official_first_name": "HOMAYOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-227-9774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 00006854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5019823",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna L Sunday, LMHC
• Hannah Kimman Sundquist, PHARMD, RPH
• Yaehee Sung, SLP
• Byron-Noel Valdez Sunga, PT
• Sunny Ohman Crna PLLC
• Sunshine Health Care Services LLC
• Rachel Therese Sunshine
• Supplemental Health Care
• Sushitha Surendran, MD
• Jill Koerselman Suresh, MSW, LSWAIC

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.