Active NPI
Sean Hwang, DDS
- Periodontics
- Woodinville, WA
National Provider Identifier
1356902217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12030
- Practice address
- 13515 NE 175TH St Ste B
Woodinville, WA 98072-8566 - Phone
- (425) 217-8797
- NPI assigned
- Jun 21, 2019
- Last updated
- Aug 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418162 | VA | |
| Periodontics | 1223P0300X | 12030 | TN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
13515 NE 175TH St Ste B
Woodinville, WA 98072-8566
Mailing address
15843 NE 83Rd Way
Redmond, WA 98052-3887
Phone (617) 735-5201
Other practice location 1
1 Kneeland St
Boston, MA 02111-1527
Phone (617) 636-6828
Other practice location 2
125 Wendelwood Dr Ste B
Murfreesboro, TN 37129-3746
Phone (615) 904-1585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191202001753 | MA | Order and Referring Only - Dentist | 8527491737 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418162 | VA | MD | Dentist |
| 12030 | TN | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murfreesboro Smiles Dentistry, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Murfreesboro Smiles Dentistry
- Dentist
- Murfreesboro, TN
- NPI 1821549908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1356902217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15843 NE 83RD WAY",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523887",
"telephone_number": "617-735-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13515 NE 175TH ST STE B",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980728566",
"telephone_number": "425-217-8797"
}
],
"practiceLocations": [
{
"address_1": "1 Kneeland St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111527",
"country_code": "US",
"telephone_number": "617-636-6828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Wendelwood Dr Ste B",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371293746",
"country_code": "US",
"telephone_number": "615-904-1585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HWANG",
"first_name": "SEAN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418162",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TN",
"license": "12030",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.