NPIMap

Organization Active NPI

Healthy Smiles Dental and Denture Center

  • Dental Clinic/Center
  • Renton, WA
National Provider Identifier
1336488907
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN00000046 Issued in WA
Legal business name
HEALTHY SMILES DENTAL AND DENTURE CENTER
Practice address
220 SW Sunset Blvd
Suite C103
Renton, WA 98057-2320
Phone
(425) 276-5607
Fax
(425) 496-8045
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Mr. Jonathan Tanchoco Alcantara
Title
Office Manager
Phone
(206) 683-0565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN00000046 WA Primary

Addresses

Primary practice location

220 SW Sunset Blvd
Suite C103
Renton, WA 98057-2320

Mailing address

220 SW Sunset Blvd
Suite C103
Renton, WA 98057-2320
Phone (425) 276-5607

National Provider Directory

National Provider Directory

Locations

220 SW Sunset Blvd
Ste C103
Renton, WA 98057
Phone (425) 276-5607

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1336488907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW SUNSET BLVD",
            "address_2": "SUITE C103",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572320",
            "telephone_number": "425-276-5607",
            "fax_number": "425-496-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW SUNSET BLVD",
            "address_2": "SUITE C103",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572320",
            "telephone_number": "425-276-5607",
            "fax_number": "425-496-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL AND DENTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TANCHOCO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-683-0565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DN00000046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.